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Korean Journal of Anesthesiology 1995;29(5):735-739.
DOI: https://doi.org/10.4097/kjae.1995.29.5.735   
Delayed Emergence from General Anesthesia Caused by an Unnoticed Intracranial Tumor.
Byung Suk Park, Yeon Jin Kim, Kyeong Tae Min, Woung Choul Lim, Hee Ryun Kang
1Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
2Department of Anesthesiology, Cheil General Hospital, Seoul, Korea.
Abstract
Slowly growing intracranial tumors, especially located in the supratentorial compartment, permit major volume-spacial compensation. Patient with large supratentorial tumor may not even present any specific symptoms or signs related to the elevated intracranial pressure. We experienced a patient who showed delayed emergence from general anesthesia for total knee replacement without any pharmacologic or metabolic causes. Computerized tomogram scan and magnetic resonance image revealed an unnoticed large supratentorial tumor considered as a cause of delayed emergence. After removal of intracranial tumor, the patient regained consciousness and discharged from the hospital in a relatively good health.
Key Words: Delayed emergence; Brain; Tumor


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