%0 Case Reports
%T Acute Macroglossia Post Craniotomy in Sitting Position: A Case Report and Proposed Management Guideline.
%A Ababneh O
%A Alghanem S
%A Al-Shudifat A
%A Khreesha L
%A Obeidat S
%A Bsisu I
%J Int Med Case Rep J
%V 13
%N 0
%D 2020
%M 32943946
暂无%R 10.2147/IMCRJ.S265206
%X <B>UNASSIGNED: </B>Macroglossia is a rare life-threatening postoperative complication in patients undergoing neurosurgical operations in a sitting position. It is difficult to identify the cause of macroglossia, which can be considered multifactorial in most patients.<BR><B>UNASSIGNED: </B>We herein present a case of a 37-year-old female patient who was known to have a posterior occipital lesion (low-grade glioma with pilocytic features) and underwent occipital craniectomy followed by supratentorial approach for debulking of the tumor under general anesthesia in a sitting position. The patient developed upper airway edema along with extreme macroglossia immediately following extubation, with increasing difficulty in ventilation. Re-intubation was impossible, and urgent tracheostomy was performed. In the intensive care unit (ICU), the macroglossia worsened, and the patient developed sepsis with multi-organ failure and died 16 days postoperatively.<BR><B>UNASSIGNED: </B>Acute macroglossia can be a catastrophic postoperative complication, necessitating early identification and a systematic approach to this critical event, in addition to being fully prepared to deal with difficult airway should this complication occur.