Q: Patient returned from OR after repair of thoracic aneurysm repair. On weaning of sedation lower extremities weakness is noted. MAP is progressively increased, along with draining of cerebero-spinal-fluid (CSF) to keep Intra-cranial pressure (ICP) at 10-12. But despite maximum perfusion therapy, patient lower extremities remained weak. What should be your concern?


Answer: Epidural hematoma

If despite maximum perfusion therapy, patient remain unresponsive, prompt radiological study should be obtained (MRI vs CT) to rule out epidural hematoma.