Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia
Yonsei Medical Journal
;
: 475-477, 2010.
Article
in English
| WPRIM
| ID: wpr-114976
ABSTRACT
A patient received combined spinal-epidural anesthesia for a scheduled total knee arthroplasty. After an injection of spinal anesthetic and ephedrine due to a decrease in blood pressure, the patient developed a severe headache. The patient did not respond to verbal command at the completion of the operation. A brain CT scan revealed massive subarachnoid and intraventricular hemorrhages, and a CT angiogram showed a ruptured aneurysm. Severe headaches should not be overlooked in an uncontrolled hypertensive patient during spinal anesthesia because it may imply an intracranial and intraventricular hemorrhage due to the rupture of a hidden aneurysm.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Subarachnoid Hemorrhage
/
Cerebral Ventricles
/
Aneurysm, Ruptured
/
Intracranial Hemorrhages
/
Anesthesia, Epidural
/
Anesthesia, Spinal
Limits:
Aged
/
Humans
/
Male
Language:
English
Journal:
Yonsei Medical Journal
Year:
2010
Type:
Article
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