Post-operative dizziness or imbalance is often regarded as 'trivial' and self-limiting and vaguely ascribed to the drugs used in anaesthesia or to haemodynamic changes. While hearing loss after anaesthesia has been documented in several studies, very little attention has been paid to a possible vestibular cause for post-operative dizziness. Twelve patients with post-operative vestibular disorders, with or without concomitant hearing loss, and one patient with tinnitus are described. As effective management for vestibular dysfunction exists, the importance of identifying this potential cause of dizziness is emphasized.
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http://dx.doi.org/10.1111/j.1365-2273.1995.tb01590.x | DOI Listing |
Vascular
January 2025
Division of Vascular Surgery, Medical University of South Carolina, Charleston, SC, USA.
Objectives: Mal-deployment of the thoracic endovascular aortic repair (TEVAR) stent graft during a frozen elephant trunk (FET) procedure for an acute type A aortic dissection (ATAAD) leads to devastating complications. We report a hemiarch replacement with TEVAR stent graft covering the aortic arch vessels salvaged through an endovascular approach.
Methods: A 69-year-old man with ATAAD in 2018, status post-hemiarch repair with TEVAR, presented in 2023 with progressive dizziness/syncope and lower extremity hypertension with inability to tolerate anti-hypertensives.
J Otol
April 2024
Department of Vascular Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, 102218, China.
Objective: This study aimed to report 9 venous thromboembolism (VTE) cases after extracranial otologic surgery and analyze the potential risk factors.
Study Design: Case series.
Setting: Single tertiary-level academic center.
Pak J Med Sci
December 2024
Asif Shabbir Associate Professor, Department of Neurosurgery, Neurosurgery Unit-I, Punjab Institutes of Neurosciences Lahore, Pakistan.
Paragangliomas are slow-growing, extra-adrenal neuroendocrine tumors with rare intracranial presentation. Although benign, they can be locally aggressive tumors causing bone destruction and compression related symptoms. We report the case of a 19 years old, normotensive female who presented with headache and vertigo for the past six months.
View Article and Find Full Text PDFQuant Imaging Med Surg
December 2024
Department of Radiology, Huashan Hospital, Fudan University, Shanghai, China.
Background: Territorial arterial spin labelling (t-ASL) could be an alternative method to digital subtraction angiography (DSA) when evaluating feeding arteries by previous reports, however, blood supply variations on meningioma prognosis remains unclear. In this study, the prognosis of meningiomas mainly supplied by the internal carotid artery (ICA) and external carotid artery (ECA) was compared, and relevant clinical factors were investigated.
Methods: t-ASL technique was employed to categorized pathologically-confirmed meningioma patients into the ICA, ECA, ICA co-supplied, and non-ICA co-supplied group.
PLoS One
November 2024
Department of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
Objective: Postpartum depression (PPD) is a major mental health issue affecting 10%-15% of women globally. This meta-analysis synthesized updated evidence on sub-anesthetic ketamine/esketamine's efficacy in preventing PPD.
Methods: Randomized controlled trials (RCTs) comparing ketamine/esketamine to a placebo for PPD prevention were searched without language restriction.
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