European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
Post-endoscopy subarachnoid hypertension syndrome: a case series in the recovery period after unilateral biportal endoscopic surgery under general anesthesia.
СтатьяНазвание и аннотация: Перевод в очереди
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Zhang Liuyuan, Wang Zhaoli, Guo Xin, Yang Guang, Chen Dongling, Liu Chang
Аннотация
PURPOSE: To describe the clinical features, perioperative management, and outcomes of post-endoscopy subarachnoid hypertension syndrome (PESHS) in patients recovering from unilateral biportal endoscopic (UBE) spinal surgery under general anesthesia.
METHODS: This retrospective case series reviewed three consecutive patients who developed PESHS in the post-anesthesia care unit (PACU) following UBE procedures under general anesthesia at a single center.
RESULTS: The three patients presented with acute severe hypertension, tachycardia, altered consciousness, and increased muscle tone. Management included dehydration, sedation with propofol plus dexmedetomidine, analgesia, and anti-inflammatory therapy. Clinical improvement occurred within 2-5 h; all patients were discharged without sequelae.
CONCLUSION: PESHS after UBE is manageable with early recognition and a structured approach combining vigilant monitoring, targeted interventions, and meticulous nursing care.
METHODS: This retrospective case series reviewed three consecutive patients who developed PESHS in the post-anesthesia care unit (PACU) following UBE procedures under general anesthesia at a single center.
RESULTS: The three patients presented with acute severe hypertension, tachycardia, altered consciousness, and increased muscle tone. Management included dehydration, sedation with propofol plus dexmedetomidine, analgesia, and anti-inflammatory therapy. Clinical improvement occurred within 2-5 h; all patients were discharged without sequelae.
CONCLUSION: PESHS after UBE is manageable with early recognition and a structured approach combining vigilant monitoring, targeted interventions, and meticulous nursing care.