Korean J Crit Care Med.  1998 Jun;13(1):113-113.

Cerebral Hemorrhage Following Anesthesia for a Patient with Takayasu's Arteritis: A case report

• Ryu KH
• Lee YK
• Choi YW
• Lee JM
• Kim CS
• Song SK

Abstract

Takayasu's arteritis is a nonspecific inflammatory arteritis involving the aorta and its major branches. Stroke may be an important and predictive complication for the prognosis in such patient. A 48-year-old woman got a bypass operation 3 months ago because of both subclavian artery and left common carotid artery occlusion, but she still suffered from headache, dizziness and tingling sensation and had no pulse of right arm. So, she got a bracheoaxillary bypass reoperation. Anesthesia was performed with enflurane-N2O-O2. At the recovery room, her mental state was deep drowsy and she revealed high blood pressure and abnormal neurological sign. Her brain computed tomography revealed cerebral hemorrhage at left frontotemporal basal ganglion area. Emergent hematoma removal of brain was done. Post- operatively this patient sustained an intracerebral hemorrhage in the initial hemorrhagic site despite immediate reoperation. She was discharged home without improvement at postoperative 5 days. This report is a description of Takayasu's arteritis with massive cerebral hemorrhage following a reoperation of occluded bypass surgery.

Keyword

Arteritis; Takayasu's arteritis; Complication; Cerebral hemorrhage

MeSH Terms

Anesthesia*
Aorta
Arm
Arteritis
Brain
Carotid Artery, Common
Cerebral Hemorrhage*
Dizziness
Female
Ganglion Cysts
Headache
Hematoma
Humans
Hypertension
Middle Aged
Prognosis
Recovery Room
Reoperation
Sensation
Stroke
Subclavian Artery
Takayasu Arteritis*