Hypoglycemia-Induced Cardiac Arrest During Cervical Cerclage Procedure Under Spinal Anesthesia.

Saroj Singh,Saroj Shrestha,Bodh Bikram Karki

doi:10.37080/nmj.179

Abstract

It’s unusual for a pregnant woman to suffer sudden cardiac arrest from hypoglycemia during spinal anesthesia, but we recently encountered such a case involving a 26-year-old first-time mother-to-be at 22 weeks gestation undergoing cerclage placement. This highlights the importance of identifying individuals prone to hypoglycemia, closely monitoring their well-being, and promptly initiating treatment at any signs of cardiovascular instability.

Highlights

According to the classification published by the World Health Organisation (WHO) in 2005, ameloblastoma is defined as a benign, locally very aggressive tumor with a very high rate of relapse
It is composed of odontogenic epithelium surrounded by the fibrous stroma.1It is of epithelial origin that may arise from the enamel, remnants of the dental lamina, the lining of odontogenic cysts, or possibly from the basal epithelial cells of the oral mucosa.2The treatment of ameloblastoma varies based on the clinical, histopathologic, and radiographic characteristics
Unicystic forms are thought to be less likely to recur; a more conservative approach is recommended, it is seldom adopted in practice.[3]

Summary

INTRODUCTION

According to the classification published by the World Health Organisation (WHO) in 2005, ameloblastoma is defined as a benign, locally very aggressive tumor with a very high rate of relapse. The patient was a healthy Police Personnel, non-smoker and had no underlying disease He had first noticed the lesion about 6 months prior. Patient gave history of surgery performed 2 years back in some other hospital where extraction of teeth 43,44,45,46 was done. An orthopantomogram (OPG) a month after 1st surgery performed in other hospital (Figure 1) showed the existence of an illdefined radiolucent unicystic formation in the segment of right body of the mandible extending from the teeth 43 to 46. Recent OPG shows the existence of expansive large radiolucent area in the right body of mandible. Stable FPD were present and around 3 mm of cortical bone in the lower boarder of mandible seen (Figure 2).

Findings

DISCUSSION

CONCLUSIONS