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
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收藏
页码：475 / 477
页数：3
相关论文
共 13 条
[1]   INSULIN-SENSITIVE AND INSULIN-RESISTANT VARIANTS IN NIDDM [J].
BANERJI, MA ;
LEBOVITZ, HE .
DIABETES, 1989, 38 (06) :784-792
[2]  
BOTTIGER BW, 1992, ANAESTHESIST, V41, P152
[3]   Subarachnoid haemorrhage following spinal anaesthesia in an obstetric patient [J].
Eggert, SM ;
Eggers, KA .
BRITISH JOURNAL OF ANAESTHESIA, 2001, 86 (03) :442-444
[4]   Detection of cerebral aneurysms in nontraumatic subarachnoid haemorrhage: Role of multislice CT angiography in 130 consecutive patients [J].
El Khaldi M. ;
Pernter P. ;
Ferro F. ;
Alfieri A. ;
Decaminada N. ;
Naibo L. ;
Bonatti G. .
La radiologia medica, 2007, 112 (1) :123-137
[5]  
Gavin JR, 1999, DIABETES CARE, V22, pS5
[6]   Aneurysmal subarachnoid haemorrhage and the anaesthetist [J].
Priebe, H.-J. .
BRITISH JOURNAL OF ANAESTHESIA, 2007, 99 (01) :102-118
[7]  
Pulsinelli WA, 1996, CECILS TXB MED, P2073
[8]  
Sherer D M, 1999, J Matern Fetal Med, V8, P138, DOI 10.1002/(SICI)1520-6661(199905/06)8:3<138::AID-MFM13>3.0.CO
[9]  
2-J
[10]   Subarachnoid haemorrhage: diagnosis, causes and management [J].
van Gijn, J ;
Rinkel, GJE .
BRAIN, 2001, 124 :249-278
12