Hyperglycaemia and cerebral oedema in a patient with a meningioma receiving dexamethasone
- 16 December 2010
- journal article
- case report
- Published by Wiley in Anaesthesia
- Vol. 66 (2), 127-131
- https://doi.org/10.1111/j.1365-2044.2010.06585.x
Abstract
Dexamethasone is prescribed routinely to reduce cerebral oedema in neurosurgical patients undergoing craniotomy for tumour and is used increasingly as an anti-emetic. Dexamethasone, however, has been shown to cause hyperglycaemia. We describe a case of hyperglycaemic crisis, cerebral oedema and death secondary to dexamethasone in a patient with a frontal meningioma. We highlight the risks of peri-operative dexamethasone and discuss the diagnosis, treatment and complications of hyperglycaemic crises and cerebral oedema.Keywords
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