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Published in: JA Clinical Reports 1/2022

Open Access 01-12-2022 | Electroencephalography | Case report

Electroencephalogram evaluation of accidental cerebral congestion during unexpected superior vena cava clamping: a case report

Authors: Hirotsugu Miyoshi, Ryuji Nakamura, Sachiko Otsuki, Yuko Noda, Noboru Saeki, Yasuo M. Tsutsumi

Published in: JA Clinical Reports | Issue 1/2022

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Abstract

Background

Intraoperative superior vena cava (SVC) clamping causes hypotension and cerebral congestion. There is no established method for monitoring brain function during cerebral congestion. We encountered a case of cerebral congestion caused by unexpected SVC clamping.

Case presentation

A 64-year-old man underwent SVC clamping during lung tumor resection. The entropy and electroencephalogram monitoring values decreased with SVC clamping and increased in response to the release of congestion by phlebotomy and SVC declamping.

Conclusions

Because entropy sharply reflects brain viability during cerebral congestion, it was considered helpful in evaluation of the monitoring of cerebral congestion.
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Metadata
Title
Electroencephalogram evaluation of accidental cerebral congestion during unexpected superior vena cava clamping: a case report
Authors
Hirotsugu Miyoshi
Ryuji Nakamura
Sachiko Otsuki
Yuko Noda
Noboru Saeki
Yasuo M. Tsutsumi
Publication date
01-12-2022
Publisher
Springer Berlin Heidelberg
Published in
JA Clinical Reports / Issue 1/2022
Electronic ISSN: 2363-9024
DOI
https://doi.org/10.1186/s40981-022-00531-6

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