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Meningioma as an incidental finding in an intensive care unit
Journal of the Royal Naval Medical Service
|January 1, 1989
Abstract:
A report on two hypotensive episodes secondary to post-operative haemorrhage is presented. Recovery was complicated by prolonged coma and a frontal meningioma was eventually discovered. The possible aetiology of this coma is discussed. Intracranial pathology should be suspected when coma persists on the intensive care unit.
Insights
Two patients experienced hypotension after surgery due to bleeding. Prolonged coma led to the discovery of a frontal meningioma, highlighting the need to suspect intracranial pathology in persistent intensive care unit coma.
Area of Science:
- Neurology
- Neurosurgery
- Critical Care Medicine
Background:
- Post-operative hemorrhage can lead to severe hypotension.
- Prolonged coma following surgery presents a diagnostic challenge.
Observation:
- Two cases of hypotension secondary to post-operative hemorrhage are reported.
- Patient recovery was complicated by persistent coma.
Findings:
- A frontal meningioma was discovered as a potential cause of prolonged coma.
- The study discusses the possible etiology of coma in this context.
Implications:
- Intracranial pathology should be considered in cases of persistent coma in the intensive care unit.
- Early diagnosis of intracranial lesions is crucial for patient outcomes.