Akademik Veri Yönetim Sistemi
AÇBİD 2025, Antalya, Türkiye, 24 - 27 Nisan 2025, ss.94, (Özet Bildiri)
Intracerebral Hemorrhage After Mandibular Fracture Surgery
Under General Anesthesia: A Case Report
Objective: Mandibular fractures are commonly treated
surgically, but patients with underlying comorbidities, such as hypertension,
may have an increased risk of complications. This case highlights a rare but
serious postoperative complication—intracerebral hemorrhage—following
mandibular fracture repair under general anesthesia.
Case: A 51-year-old male patient with a history of chronic hypertension
presented with a mandibular fracture due to physical assault. Initial brain CT
at the emergency department showed no abnormalities. He was referred for
surgical repair, and preoperative cardiology evaluation cleared him for
surgery. The procedure was performed under general anesthesia, with
perioperative blood pressure levels around 150/90 mmHg. Postoperatively, the
patient was monitored for two days and discharged without complications.
Three days after discharge, he developed sudden confusion and was taken to the
emergency department, where a brain CT revealed an intracerebral hemorrhage.
The patient was intubated and admitted to the ICU. He responded well to medical
treatment, was extubated on the 5th day, and transferred to the general ward on
the 7th day. After two more days of monitoring, he was discharged with a GCS of
15 and no neurological deficits.
Conclusion: This case underscores the importance of careful perioperative blood
pressure management and close postoperative monitoring in hypertensive patients
undergoing surgical procedures. Postoperative intracerebral hemorrhage, though
rare, can be life-threatening, highlighting the need for vigilance in high-risk
individuals.