Intracrebral Hemorrhage Remote from the Site of Aneurysm Surgery
Journal of Korean Neurosurgical Society
;
: 834-841, 1996.
Article
in English
| WPRIM
| ID: wpr-94099
ABSTRACT
In order to find out possible causes and measures for prevention of intracerebral hemorrhage remote from the site of cerebral aneurysm surgery, the authors analyzed five patients who developed such a complication following aneurysm surgery among 720 surgical cases of cerebral aneurysm. The aneurysm sites were posterior communicating artery(Pcom) in two cases, anterior communicating artery(Acom) in two, and Acom and middle cerebral artery(MMCA) in one. The hemorrhages in three cases occurred in the cerebellum. One in the contralateral hemisphere and one in the ipsilateral hemisphere to the operation site. All hemorrhages except one occurred vasospasm preoperatively. Fluctuation of blood pressure with sudden elevation to high level was noticed in three cases preoperatively and in all cases postoperatively. We conclude that sudden elevation of blood pressure during the remission stage of vasospasm seems to be possible cause for remote hemorrhage. To prevent this complication, we recommend meticulous control of blood pressure during surgery and in the postoperative period, especially in cases that showed fluctuation of blood pressure preoperatively.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Period
/
Blood Pressure
/
Cerebellum
/
Intracranial Aneurysm
/
Cerebral Hemorrhage
/
Postoperative Hemorrhage
/
Hemorrhage
/
Aneurysm
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
1996
Type:
Article
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