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CASE REPORT
Year : 2011  |  Volume : 55  |  Issue : 6  |  Page : 611-613

Postoperative acute anisocoria and old traumatic brain injury


1 Department of Critical Care Medicine, SGPGIMS, Lucknow, Uttar Pradesh, India
2 Department of Anaesthesiology, SGPGIMS, Lucknow, Uttar Pradesh, India

Correspondence Address:
Tanmoy Ghatak
Rammohan Pally, Arambagh Hooghly, Arambagh
India
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DOI: 10.4103/0019-5049.90620

PMID: 22223908

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Anisocoria is an uncommon entity in general postoperative intensive care. We present a case of a 45-year-old man suffering from severe acute pancreatitis with a past history of traumatic brain injury (TBI), who developed hypertension, bradycardia and anisocoria soon after re-exploration surgery under general anaesthesia. Computed tomography showed no new lesion. Measures directed towards reducing intracranial pressure resulted in amelioration in about 12 h. The possible role of old TBI in the causation of anisocoria during general anaesthesia and resuscitation has been explored in this report.


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