Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia
Yonsei Medical Journal
; : 475-477, 2010.
Article
en En
| WPRIM
| ID: wpr-114976
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Hemorragia Subaracnoidea
/
Ventrículos Cerebrales
/
Aneurisma Roto
/
Hemorragias Intracraneales
/
Anestesia Epidural
/
Anestesia Raquidea
Límite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Yonsei Medical Journal
Año:
2010
Tipo del documento:
Article