Intraoperative anisocoria in a child during renal transplantation.
Anisocoria during anaesthesia may indicate a serious neurological condition. Assessment by physical examination and diagnostic imaging is limited during surgery and anaesthesia. We report a case of a boy undergoing renal transplantation, who suffered from anisocoria during general anaesthesia. A transcranial sonography was performed, showing no intracranial pathology. However, retinal hypoperfusion detected with orbital doppler sonography was a plausible explanation for anisocoria.
Rempf
C
C
Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, Knappschaftskrankenhaus Bochum Langendreer, University hospital, Bochum, Germany. rempf@anaesthesia.de
Helmke
K
K
Gottschalk
A
A
Farokhzad
F
F
Burmeister
M A
MA
D000768:Anesthesia, General / Q000009:adverse effects; D018686:Anesthetics, Intravenous / Q000008:administration & dosage; D015875:Anisocoria / Q000139:chemically induced / Q000175:diagnosis* / Q000188:drug therapy; D001279:Atracurium / Q000008:administration & dosage; D001783:Blood Flow Velocity / Q000187:drug effects; D001794:Blood Pressure / Q000187:drug effects; D002648:Child; D004837:Epinephrine / Q000008:administration & dosage; D005045:Etomidate / Q000008:administration & dosage; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D016030:Kidney Transplantation; D008297:Male; D015878:Mydriasis / Q000209:etiology; D009184:Mydriatics / Q000008:administration & dosage; D003473:Neuromuscular Nondepolarizing Agents / Q000008:administration & dosage; D009915:Orbit / Q000000981:diagnostic imaging; D012161:Retinal Artery / Q000187:drug effects; D017409:Sufentanil / Q000008:administration & dosage; D017585:Ultrasonography, Doppler, Transcranial
D018686:Anesthetics, Intravenous; D009184:Mydriatics; D003473:Neuromuscular Nondepolarizing Agents; D001279:Atracurium; D017409:Sufentanil; D004837:Epinephrine; D005045:Etomidate