Central Venous Line and Acute Neurological Deficit: A Case Series
نویسندگان
چکیده
Central venous catheter (CVC) insertion is a practical way to assess patients hemodynamic specially in cardiovascular surgery but this relatively simple junior level procedure is not risk free and its common reported complications include; pneumothorax, hydrothorax, hemothorax, local hematoma, cardiac tamponade, vascular injury, thrombosis, embolism, and catheter disruption. Here in this article we are going to present 6 patients with very unusual presentation of CVC complication which was neurological deficit presented by agitation, unconsciousness, disorientation to time and place and hemiparesis. All patients undergone neurologic consult and brain computed tomography. Final diagnosis was brain ischemic damage and finally we kept them on conservative management; fortunately we did not have any permanent damage.
منابع مشابه
Other Probable Explanations for Acute Neurological Deficits after the Removal of a Central Venous Catheter
I read the article written by Ahmadi et al. 1 published in the previous issue of your journal. In this invaluable article, the authors meticulously explained their observations on patients with acute neurological deficits after the removal of central venous catheters. However, there are some obscure points that should be pondered. Firstly, brain magnetic resonance imaging or repeated computed t...
متن کاملTransient neurological deficit immediately after central venous line removal: a poorly explained finding.
The sudden onset of a major neurological deficit in concomitance with the removal of a central venous line (CVL) is an unexpected finding to our knowledge not previously described. We recently observed this phenomenon in 3 of 460 consecutive patients in whom a CVL line (usually inserted in the right internal jugular vein) was used during routine cardiac surgical procedures. All 3 patients had a...
متن کاملSpontaneous Intracranial Hypotension Plus Cerebral Venous Thrombosis: A Case Report Study
This is a case study of a 34-year-old woman who was admitted to hospital with a history of severe orthostatic headache. She was diagnosed as having spontaneous intracranial hypotension (SIH) by undetectable cerebrospinal fluid (CSF) pressure at lumbar puncture, and with evidence of diffuse dural enhancement of the brain detected by magnetic resonance imaging (MRI). However, the contrast-enhance...
متن کاملPneumorrhachis Resulting in Transient Paresis after PICC Line Insertion into the Ascending Lumbar Vein
Obtaining intravascular access in the neonatal intensive care unit (NICU) is not only critical but also technically challenging. Malposition of the catheter tip is a known and well-documented complication. Specifically, peripherally inserted central venous catheter (PICC) line insertion into the ascending lumbar vein can lead to neurological dysfunction and, in some cases, even death. We presen...
متن کاملThe successful withdrawal of a migrated central venous catheter
Background: Central venous catheters (CVCs) have been used widely in clinics. These catheters are also recommended for children and infants receiving chemotherapy and total parenteral nutrition (TPN) and etc. In this paper, we present migrated fractured control line of the heart of a girl. Case Presentation: A 2.5 year old girl with migrated of the fractured central line into the heart. In the ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 9 شماره
صفحات -
تاریخ انتشار 2014