Abstract
A 49-year-old Chinese female underwent elective laparoscopic assisted Whipple’s surgery lasting 12 h. This was complicated by postoperative pressure alopecia at the occipital area of the scalp. Pressure-induced hair loss after general anaesthesia is uncommon and typically temporary, but may be disconcerting to the patient. We report this case of postoperative permanent pressure alopecia due to its rarity in the anaesthesia/local literature, and review the risk factors for its development.
Similar content being viewed by others
References
Abel RR, Lewis GM. Postoperative (pressure) alopecia. Arch Dermatol. 1960;81:34–42.
Danber RPR, De Berker D, Wojnarowska F. Disorders of hair. In: Champion RH, Burton JL, Burns DA, Breathnach. SM eds. The Rook/Wilkinson/Ebling Textbook of Dermatology, 6th edn. Oxford: Blackwell Science,1998;2919–30.
Ghorbani J, Dabir S, Givehchi G, Najafi M. Co-presentation of Tapia’s syndrome and pressure alopecia—a rare event after septorhinoplasty: a case report and literature review. Acta Anaesthesiologica Taiwanica. 2014;52(1):38–40.
Patel KD, Henschel EO. Postoperative alopecia. Anesth Analg. 1980;59(4):311–3.
Gormley TP, Sokoll MD. Permanent alopecia from pressure of a head strap. JAMA. 1967;199(10):747–8.
Iwai T, Matsui Y, Hirota M, Tohnai I, Maegawa J. Temporary alopecia caused by pressure from a headband used to secure a reference frame to the head during navigational surgery. Br J Oral Maxillofac Surg. 2009;47(7):573–4.
García-Hernández MJ, Ruiz-Doblado S, Rodriguez-Pichardo A, Camacho F. Alopecia areata, stress and psychiatric disorders: a review. J Dermatol. 1999;26(10):625–32.
Ruiz-Doblado S, Carrizosa A, García-Hernández MJ. Alopecia areata: psychiatric comorbidity and adjustment to illness. Int J Dermatol. 2003;42(6):434–7.
Wiles JC, Hansen RC. Postoperative (pressure) alopecia. J Am Acad Dermatol. 1985;12(1):195–8.
Dominguez E, Eslinger MR, McCord SV. Postoperative (pressure) alopecia: report of a case after elective cosmetic surgery. Anesth Analg. 1999;89(4):1062.
Tomioka T, Hayashida M, Hanaoka K. Pressure alopecia in living donors for liver transplantation. Canadian J Anesth/J Canadien d’anesthésie. 2004;51(2):186–7.
Bhatt HK, Sharma MC, Blair NP. Pressure alopecia following vitreoretinal surgery. Am J Ophthalmol. 2004;137(1):191–3.
Lypka MA, Yamashita DDR, Urata MM. Postoperative alopecia following orthognathic surgery. J Oral Maxillofac Surg. 2008;66(9):1957–8.
Leonardi R, Lombardo C, Loreto C, Caltabiano R. Pressure alopecia from orthodontic headgear. Am J Orthod Dentofac Orthop. 2008;134(3):456–8.
Gershan LA, Esterly NB. Scarring alopecia in neonates as a consequence of hypoxaemia-hypoperfusion. Archiv Disease Childh. 1993;68(5 Spec No):591–593.
Boyer JD, Vidmar DA. Postoperative alopecia: a case report and literature review. Cutis. 1994;54(5):321–2.
Dominguez E, Eslinger MR, McCord SV. Postoperative (pressure) alopecia: report of a case after elective cosmetic surgery. Anesth Analg. 1999;89(4):1062.
Goodenough J, Highgate J, Shaaban H. Under pressure? Alopecia related to surgical duration. Br J Anaesth. 2014;113(2):306–7.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Chang, Z.Y., Ngian, J., Chong, C. et al. Postoperative permanent pressure alopecia. J Anesth 30, 349–351 (2016). https://doi.org/10.1007/s00540-015-2100-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00540-015-2100-2