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Acute Macroglossia Post Craniotomy in Sitting Position: A Case Report and Proposed Management Guideline
BACKGROUND: Macroglossia is a rare life-threatening postoperative complication in patients undergoing neurosurgical operations in a sitting position. It is difficult to identify the cause of macroglossia, which can be considered multifactorial in most patients. CASE PRESENTATION: We herein present a...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473987/ https://www.ncbi.nlm.nih.gov/pubmed/32943946 http://dx.doi.org/10.2147/IMCRJ.S265206 |
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author | Ababneh, Omar Alghanem, Subhi Al-Shudifat, Abdulrahman Khreesha, Lubna Obeidat, Salameh Bsisu, Isam |
author_facet | Ababneh, Omar Alghanem, Subhi Al-Shudifat, Abdulrahman Khreesha, Lubna Obeidat, Salameh Bsisu, Isam |
author_sort | Ababneh, Omar |
collection | PubMed |
description | BACKGROUND: Macroglossia is a rare life-threatening postoperative complication in patients undergoing neurosurgical operations in a sitting position. It is difficult to identify the cause of macroglossia, which can be considered multifactorial in most patients. CASE PRESENTATION: We herein present a case of a 37-year-old female patient who was known to have a posterior occipital lesion (low-grade glioma with pilocytic features) and underwent occipital craniectomy followed by supratentorial approach for debulking of the tumor under general anesthesia in a sitting position. The patient developed upper airway edema along with extreme macroglossia immediately following extubation, with increasing difficulty in ventilation. Re-intubation was impossible, and urgent tracheostomy was performed. In the intensive care unit (ICU), the macroglossia worsened, and the patient developed sepsis with multi-organ failure and died 16 days postoperatively. CONCLUSION: Acute macroglossia can be a catastrophic postoperative complication, necessitating early identification and a systematic approach to this critical event, in addition to being fully prepared to deal with difficult airway should this complication occur. |
format | Online Article Text |
id | pubmed-7473987 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-74739872020-09-16 Acute Macroglossia Post Craniotomy in Sitting Position: A Case Report and Proposed Management Guideline Ababneh, Omar Alghanem, Subhi Al-Shudifat, Abdulrahman Khreesha, Lubna Obeidat, Salameh Bsisu, Isam Int Med Case Rep J Case Report BACKGROUND: Macroglossia is a rare life-threatening postoperative complication in patients undergoing neurosurgical operations in a sitting position. It is difficult to identify the cause of macroglossia, which can be considered multifactorial in most patients. CASE PRESENTATION: We herein present a case of a 37-year-old female patient who was known to have a posterior occipital lesion (low-grade glioma with pilocytic features) and underwent occipital craniectomy followed by supratentorial approach for debulking of the tumor under general anesthesia in a sitting position. The patient developed upper airway edema along with extreme macroglossia immediately following extubation, with increasing difficulty in ventilation. Re-intubation was impossible, and urgent tracheostomy was performed. In the intensive care unit (ICU), the macroglossia worsened, and the patient developed sepsis with multi-organ failure and died 16 days postoperatively. CONCLUSION: Acute macroglossia can be a catastrophic postoperative complication, necessitating early identification and a systematic approach to this critical event, in addition to being fully prepared to deal with difficult airway should this complication occur. Dove 2020-08-31 /pmc/articles/PMC7473987/ /pubmed/32943946 http://dx.doi.org/10.2147/IMCRJ.S265206 Text en © 2020 Ababneh et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Case Report Ababneh, Omar Alghanem, Subhi Al-Shudifat, Abdulrahman Khreesha, Lubna Obeidat, Salameh Bsisu, Isam Acute Macroglossia Post Craniotomy in Sitting Position: A Case Report and Proposed Management Guideline |
title | Acute Macroglossia Post Craniotomy in Sitting Position: A Case Report and Proposed Management Guideline |
title_full | Acute Macroglossia Post Craniotomy in Sitting Position: A Case Report and Proposed Management Guideline |
title_fullStr | Acute Macroglossia Post Craniotomy in Sitting Position: A Case Report and Proposed Management Guideline |
title_full_unstemmed | Acute Macroglossia Post Craniotomy in Sitting Position: A Case Report and Proposed Management Guideline |
title_short | Acute Macroglossia Post Craniotomy in Sitting Position: A Case Report and Proposed Management Guideline |
title_sort | acute macroglossia post craniotomy in sitting position: a case report and proposed management guideline |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473987/ https://www.ncbi.nlm.nih.gov/pubmed/32943946 http://dx.doi.org/10.2147/IMCRJ.S265206 |
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