Hiperlökositozu Olan Çocuk Hastada Santral Venöz Kateterizasyon Sırasında Gelişen Geçici Nörolojik Komplikasyon

Hyperleukocytosis is seen in 5-20% of childhood leukemia cases and it is a poor prognostic factor. Leukapheresis is an effective emergency treatment method by reducing the number of blasts and control of neurological symptoms. Here we report a pediatric patient whose physical status was ASA IVE. He was diagnosed as acute leukemia and had neurologic deterioration together with late recovery from anesthesia after central venous catheterization. Morbidity and mortality of central venous catheterization, which is necessary for leukapheresis treatment, is high. Therefore, all the risks of the disorder and the central catheterization procedure should be described in detail to the family by clinician and the anesthesiologist during preoperative evaluation. We suggest using local anesthesia during this procedure in suitable cases and avoiding sedation or general anesthesia. When there is disorientation, we must remember that this can be a sign of a cerebrovascular event.