An unusual manifestation of brain tumor: development of delayed hemiplegia after cardiopulmonary bypass.
Cerebral swelling after cardiopulmonary bypass might trigger a critical cerebral consequence resulting from intracranial space-occupying lesion. We experienced a 75-year-old woman who suffered from a delayed left hemiplegia after mitral valve replacement. Urgent diagnostic imaging revealed the presence of a brain tumor with perifocal cerebral edema. Fluid shifts occurring within a few days after the cardiopulmonary bypass, manifesting the focal cerebral edema, played a key role in this unique clinical course.
Kurisu
Kazuhiro
K
Department of Cardiovascular Surgery, Kitakyushu Municipal Medical Center, Kitakyushu, Japan. byou-iryou-cvs@mail2.city.kitakyushu.jp
Hisahara
Manabu
M
Ando
Yusuke
Y
Tominaga
Ryuji
R
D000368:Aged; D001929:Brain Edema / Q000209:etiology; D001932:Brain Neoplasms / Q000150:complications*; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D008943:Mitral Valve / Q000473:pathology*; D013997:Time Factors