© Author(s) (or their employer(s)) 2022. No commercial reuse. See rights and permissions. Published by BMJ. CLINICAL QUESTION An 82yearold woman developed new onset nystagmus immediately after undergoing a nephrectomy… Click to show full abstract
© Author(s) (or their employer(s)) 2022. No commercial reuse. See rights and permissions. Published by BMJ. CLINICAL QUESTION An 82yearold woman developed new onset nystagmus immediately after undergoing a nephrectomy with radical cystectomy, performed for left hydronephrosis secondary to invasive bladder urothelial carcinoma. She had been neurologically intact before the surgery. The general anaesthesia had involved intravenous midazolam 0.5 mg, intravenous fentanyl 25 μg, intravenous propofol 200 mg and minimal isoflurane, and she had received intrathecal hydromorphone 250 μg during the surgery. The procedure had been performed successfully and without complications, and she had awoken quickly after the sedation was stopped. In the recovery suite, she reported mild roomspinning vertigo with nausea and had one episode of vomiting, with new
               
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