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Waking Slowly and Slurring After Surgery 

Waking Slowly and Slurring After Surgery
Waking Slowly and Slurring After Surgery
Neurocritical Care (2 ed.)

Eelco F. M. Wijdicks

, Alejandro A. Rabinstein

, Sara E. Hocker

, and Jennifer E. Fugate


Failure to awaken fully after surgery is a common reason for consultation. In this chapter, a patient with a postoperative stroke is presented. Usually there should be an emphasis on identifying the lingering drug effect, but other causes should also be considered. For example, in stuporous patients, an ischemic stroke in the posterior circulation involving the thalamus or cerebellar infarctions can cause acute hydrocephalus from compression. Also, hyponatremia and hypoglycemia are potential causes of postoperative stupor. Hypoglycemia requires immediate correction, while hyponatremia should be corrected more slowly.

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