A Anaesthetic Considerations in an Incidental Finding of Leukoariosis
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Abstract
Leukariosis is an incidental MRI finding which appears as white matter hyperintensities (WMHs) or diffuse white matter changes and is related to small vessel disease. Patients having severe WM disease are more susceptible to intraoperative hypoperfusion, metabolic disturbance, microemboli, any medication effect, and postoperative hemodynamic perturbations. The effect of anaesthesia in patients with leukoariosis is not commonly known and there is paucity of reported literature.
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[2] Mandell DM, Han JS, Poublanc J, Crawley AP. Selective reduction of blood flow to white matter during hypercapnia corresponds with leukoaraiosis. Stroke. 2008; 39(7):1993-8
[3] Bradley WG Jr, Whittemore AR, Watanabe AS, Davis SJ, Teresi LM, Homyak M. Association of deep white matter infarction with chronic communicating hydrocephalus: implications regarding the possible origin of normal-pressure hydrocephalus. AJNR Am J Neuroradiol. 1991; 12(1):31-9.
[4] Domenico I. Leukoaraiosis: An Independent Risk Factor for Stroke?, Stroke. 2003; 34(8):2067-71
[5] Morimoto N, Okada K, Uotani K, Kanda F, Okita Y. Leukoaraiosis and hippocampal atrophy predict neurologic outcome in patients who undergo total aortic arch replacement. The Annals of thoracic surgery. 2009; 88(2):476-81.
| Files | ||
| Issue | Vol 7 No 1 (2021): Winter |
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| Section | Letter to Editor | |
| DOI | https://doi.org/10.18502/aacc.v7i1.5484 | |
| Keywords | ||
| leukoariosis White rarefractions in MRI Stroke Small vessel disease | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Kumari T, Siddaramu V, Gupta B, Patil A, Mohonta J. A Anaesthetic Considerations in an Incidental Finding of Leukoariosis. Arch Anesth & Crit Care. 2021;7(1):56-57.
