ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Post-endoscopy subarachnoid hypertension syndrome: a case series in the recovery period after unilateral biportal endoscopic surgery under general anesthesia.
Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo 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.
methodsThis 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.
resultsThe 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.
conclusionPESHS after UBE is manageable with early recognition and a structured approach combining vigilant monitoring, targeted interventions, and meticulous nursing care.
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