BRAIN-SWELLING IN 1ST HOUR AFTER CORONARY-ARTERY BYPASS-SURGERY

被引:186
作者
HARRIS, DN
BAILEY, SM
SMITH, PLC
TAYLOR, KM
OATRIDGE, A
BYDDER, GM
机构
[1] HAMMERSMITH HOSP,ROYAL POSTGRAD MED SCH,DEPT CARDIAC SURG,LONDON W12 0NN,ENGLAND
[2] HAMMERSMITH HOSP,ROYAL POSTGRAD MED SCH,DEPT DIAGNOST RADIOL,LONDON W12 0NN,ENGLAND
关键词
D O I
10.1016/0140-6736(93)91412-F
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Six patients undergoing routine coronary artery bypass surgery were examined by magnetic resonance imaging of the brain before surgery, immediately afterwards, and 6-18 days later. Brain swelling was visible in all six patients on the immediate postoperative scan. In five patients who had later scans the swelling had subsided. No major neurological deficits were seen, and the patients were extubated successfully within 3 h of the operation. The mechanism of the cerebral swelling is uncertain, but it may provide insight into the cause of neurophysiological deficits seen after coronary artery surgery.
引用
收藏
页码:586 / 587
页数:2
相关论文
共 10 条
[1]  
BLAUTH CI, 1988, J THORAC CARDIOV SUR, V95, P668
[2]  
DECOENE B, 1992, AM J NEURORADIOL, V13, P1555
[3]  
HIS JH, 1991, AJR, V157, P1291
[4]   BRAIN MICROEMBOLI DURING CARDIAC-SURGERY OR AORTOGRAPHY [J].
MOODY, DM ;
BELL, MA ;
CHALLA, VR ;
JOHNSTON, WE ;
PROUGH, DS .
ANNALS OF NEUROLOGY, 1990, 28 (04) :477-486
[5]   BRAIN MAGNETIC-RESONANCE-IMAGING IN CORONARY-ARTERY BYPASS GRAFTS - A PREOPERATIVE AND POSTOPERATIVE ASSESSMENT [J].
SCHMIDT, R ;
FAZEKAS, F ;
OFFENBACHER, H ;
MACHLER, H ;
FREIDL, W ;
PAYER, F ;
RIGLER, B ;
HARRISON, MIG ;
LECHNER, H .
NEUROLOGY, 1993, 43 (04) :775-778
[6]   MAGNETIC-RESONANCE-IMAGING OF THE BRAIN BEFORE AND AFTER OPEN-HEART OPERATIONS [J].
SELLMAN, M ;
HINDMARSH, T ;
IVERT, T ;
SEMB, BKH .
ANNALS OF THORACIC SURGERY, 1992, 53 (05) :807-812
[7]  
SHAW PJ, 1987, Q J MED, V62, P259
[8]  
SMITH PLC, 1986, LANCET, V1, P823
[9]   MRI - A METHOD TO DETECT MINOR BRAIN-DAMAGE FOLLOWING CORONARY-BYPASS SURGERY [J].
VIK, A ;
BRUBAKK, AO ;
RINCK, PA ;
SANDE, E ;
LEVANG, OW ;
SELLEVOLD, O .
NEURORADIOLOGY, 1991, 33 (05) :396-398
[10]   EFFECT OF GENERAL-ANESTHESIA ON THE MAGNETIC-RESONANCE IMAGING SIGNAL FROM THE BRAIN [J].
WHITFIELD, A ;
DOUGLAS, RHB .
BRITISH JOURNAL OF ANAESTHESIA, 1989, 62 (06) :694-696