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NEUROSURGICAL ANESTHESIOLOGY AND NEUROSCIENCE

Posterior Reversible Encephalopathy Syndrome After Combined General and Spinal Anesthesia with Intrathecal Morphine

Ayelet Eran, MD^*, and Michal Barak, MD

From the Departments of *Radiology and Anesthesiology, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.

Address correspondence and reprint requests to Dr. Michal Barak, Department of Anesthesiology, Rambam Health Care Campus, POB 9602, Haifa 31096, Israel. Address e-mail to m_barak{at}rambam.health.gov.il.

Abstract

We describe a patient who was in a stupor for several days after combined general-spinal anesthesia. Both clinical manifestations and magnetic resonance imaging findings were consistent with posterior reversible encephalopathy syndrome and resolved after the patient recovered spontaneously.