[Subarachnoid hemorrhage as a complication of Le Fort I osteotomy].
We report a case of subarachnoid hemorrhage (SAH) and carotid cavernous fistula (CCF) caused by Le Fort I osteotomy. A 16-year-old boy was scheduled to undergo Le Fort I osteotomy for a cleft lip and palate. After down fracture was completed, more than 1000 ml of bleeding was observed. When he became concious, we found anisocoria and imcomplete paralysis in the left side of his body. CT and angiography showed CCF and SAH to be present. After coil embolisation for CCF and therapeutic hypothermia had been performed, he recovered without severe neurological deficits. We should remember that unexpected mass bleeding in this surgery would suggest the incidence of intracranial vascular injuries.
Sano
Ai
A
Department of Anesthesiology & Emergency Medicine, Faculty of Medicine, Kagawa University, Kagawa 761-0793.
Taie
Satoshi
S
Uekita
Ikuo
I
Ueki
Masaki
M
Maekawa
Nobuhiro
N
D000293:Adolescent; D000790:Angiocardiography; D020216:Carotid-Cavernous Sinus Fistula / Q000175:diagnosis / Q000628:therapy; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D019340:Osteotomy, Le Fort; D011183:Postoperative Complications; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome