TY - JOUR AU - Gulsen, Salih PY - 2014/09/15 Y2 - 2024/03/28 TI - Management of Persistent Hypotension after Resection of Parasagittal Meningioma JF - Open Access Macedonian Journal of Medical Sciences JA - Open Access Maced J Med Sci VL - 2 IS - 3 SE - C- Case Reports DO - 10.3889/oamjms.2014.086 UR - https://oamjms.eu/index.php/mjms/article/view/oamjms.2014.086 SP - 483-487 AB - <p style="margin: 0cm 0cm 6pt; text-align: justify;"><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 8pt; mso-ansi-language: EN-US;" lang="EN-US">Various complications including air embolism have been discussed in large clinical series regarding the parasagittal meningioma. We presented and discussed the patient suffering from persistent hypotension after excision of parasagittal meningioma. </span></p><p style="margin: 0cm 0cm 6pt; text-align: justify;"><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 8pt; mso-ansi-language: EN-US;" lang="EN-US">A 47-year-old man was admitted to our hospital with complaints of headache and frontal region swelling. His cranial MRI showed a bilaterally located parasagittal meningioma at the anterior one third of the sagittal sinus. Conspicuously, he had large frontal sinus and its length was about totally 7 cm in sagittal and transverse part.</span></p><span style="color: black; font-family: 'Arial','sans-serif'; font-size: 8pt; mso-fareast-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-GB; mso-bidi-language: AR-SA;" lang="EN-US">During cranitomy, we had to open frontal sinus because of its large size and open the sagittal sinus while removing of the tumor. So coincidental opening of the superior sagittal sinus and/or emissary veins located within diploe of the cranium and frontal sinus may cause hypotension after extubation due to normal respiration led to air escaping from the frontal sinus to the emissary veins placed next to the frontal sinus. Bilateral application of the tamponade embedded with vaseline inside to the nose prevents air escaping from the frontal sinus to the emissary veins.</span> ER -