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- T Ringrose and W Thompson.
- Department of Critical Care Medicine, Flinders Medical Centre, Adelaide, SA, Australia.
- Crit Care Resusc. 1999 Sep 1;1(3):288-90.
AbstractA case is described of subarachnoid haemorrhage caused by vertebral artery dissection following general anaesthesia for laparoscopic cholecystectomy. It is postulated that the dissection may have been a result of neck manipulation during intubation or other movements whilst paralysed, or alternatively, due to intra-operative blood pressure changes occurring in a patient with a predisposition to arterial disruption. The case highlights the important symptom of neck pain in a patient with an intracranial catastrophe. Fortunately, despite a dramatic clinical presentation her recovery has been good.
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