Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia

被引：2
|
作者：
Chun, Duk-Hee [1 ]
Kim, Na-Young [1 ]
Shin, Yang-Sik [1 ,2 ]
机构：
[1] Yonsei Univ, Coll Med, Dept Anesthesiol & Pain Med, Seoul 120752, South Korea
[2] Yonsei Univ, Coll Med, Anesthesia & Pain Res Inst, Seoul 120752, South Korea
来源：
YONSEI MEDICAL JOURNAL | 2010年 / 51卷 / 03期
关键词：
Aneurysm rupture; spinal anesthesia; subarachnoid hemorrhage;
D O I：
10.3349/ymj.2010.51.3.475
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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
引用
收藏
页码：475 / 477
页数：3
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