Academic Journal
Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case report
| العنوان: | Tongue laceration in a patient taking antiplatelet agents during transcranial motor-evoked potential monitoring: a case report |
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| المؤلفون: | Matsumoto, Katsuhiro, Nakagawa, Hideyuki, Kitamura, Akira |
| المصدر: | JA Clinical Reports ; volume 8, issue 1 ; ISSN 2363-9024 |
| بيانات النشر: | Springer Science and Business Media LLC |
| سنة النشر: | 2022 |
| الوصف: | Background Transcranial motor-evoked potential (Tc-MEP) monitoring is usually performed during surgeries involving a risk of damaging brain motor areas. However, it involves a risk of bite injuries. We report a case of severe tongue laceration from Tc-MEP stimulation during carotid endarterectomy (CEA) in a patient taking antiplatelet agents. Case presentation A 74-year-old man on antiplatelet therapy was scheduled for CEA under general anesthesia with intraoperative Tc-MEP monitoring. Bite blocks were not inserted. Postoperatively, we observed a tongue laceration with severe bleeding, which was sutured. The difficulties in tongue movement persisted for ≥ 1 month postoperatively. Conclusions Bite injuries during Tc-MEP may induce severe bleeding in patients on antiplatelets. The complications of tongue bite injuries may persist, decreasing the patients’ quality of life. Hence, during Tc-MEP monitoring, it is important to use soft bite blocks and to check the patient’s face and the position of the tracheal tube intraoperatively. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1186/s40981-022-00593-6 |
| DOI: | 10.1186/s40981-022-00593-6.pdf |
| DOI: | 10.1186/s40981-022-00593-6/fulltext.html |
| الاتاحة: | http://dx.doi.org/10.1186/s40981-022-00593-6 https://link.springer.com/content/pdf/10.1186/s40981-022-00593-6.pdf https://link.springer.com/article/10.1186/s40981-022-00593-6/fulltext.html |
| Rights: | https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0 |
| رقم الانضمام: | edsbas.AE1E60F6 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s40981-022-00593-6 |
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