Korean J Anesthesiol.  2006 Aug;51(2):257-260. 10.4097/kjae.2006.51.2.257.

Intraventricular Hemorrhage during Cesarean Section under General Anesthesia: A case report

• Koo HW
• Son JS
• Han YJ
• Ko SH
• Song HS

• KMID: 1936672
• DOI: http://doi.org/10.4097/kjae.2006.51.2.257

Abstract

An intracranial hemorrhage is a fatal complication associated with general anesthesia. It can occur in patients with an intracranial aneurysm, hypertension, cerebral vascular malformation, and blood dyscrasia, etc. A sudden hemodynamic change during intubation and extubation in general anesthesia is dangerous, particularly in these patients. We encountered an intraventricular hemorrhage in a 42 year old pregnant woman after a cesarean section. The patient was induced with 300 mg of thiopental and 45 mg of rocuronium. The anesthesia was maintained with N2O/O2 and sevoflurane after endotracheal intubation. Five hours after surgery, the patient had a seizure at the ward. A MRI and CT scan of the brain showed a right intraventricular and basal ganglia hematoma. The CT 3-D brain angiography showed an unruptured small aneurysm on the right posterior communicating artery.

Keyword

cesarean section; cerebral hemorrhage; general anesthesia; intracranial aneurysm; pregnancy

MeSH Terms

Adult
Anesthesia
Anesthesia, General*
Aneurysm
Angiography
Arteries
Basal Ganglia
Brain
Cerebral Hemorrhage
Cesarean Section*
Female
Hematoma
Hemodynamics
Hemorrhage*
Humans
Hypertension
Intracranial Aneurysm
Intracranial Hemorrhages
Intubation
Intubation, Intratracheal
Magnetic Resonance Imaging
Pregnancy
Pregnant Women
Seizures
Thiopental
Tomography, X-Ray Computed
Vascular Malformations
Thiopental