Acute intracranial hypertension syndrome due to ketamine in a patient with delayed radionecrosis simulating an expansive process.
Reported is the case of a delayed cerebral necrosis in a patient with an eosinophil pituitary adenoma who had undergone radiation therapy. Neuroradiological tests were performed in order to verify the possible existence of a lateral sellar extension of the neoplasm. The administration of ketamine before this examination, presumably caused the onset of an acute temporal syndrome. Surgery was performed without delay, and a delayed cerebral necrosis of the right temporal lobe was found.
D000208:Acute Disease; D000236:Adenoma / Q000175:diagnosis / Q000532:radiotherapy; D001921:Brain / Q000473:pathology / Q000528:radiation effects; D001927:Brain Diseases / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D006801:Humans; D007649:Ketamine / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000532:radiotherapy; D011559:Pseudotumor Cerebri / Q000139:chemically induced*; D011878:Radiotherapy / Q000009:adverse effects*
D007649:Ketamine