J Korean Neurosurg Soc.  1987 Sep;16(3):673-682.

Surgical Treatment of Intracranial Aneurysms That Rebled During the Induction of Anesthesia

• Han DH
• Hong SC
• Lee SH
• Sim BS
• Choi KS

Abstract

Authors discuss on the operative treatment of intracranial aneurysms that rebled during the induction of anesthesia before the main surgical procedures. The preoperative state of the patients had been quite stable. The bleeding manifested itself by risk fluctuations in vital signs, e.g., arrhythmia and blood pressure changes. The operation became extremely difficult, requiring various maneuvers to make room for the clipping of the aneurysms and experienced surgical techniques. Postoperative morbidity was apparently increased, through the patients could recover well with painstaking efforts. Diagnosis and management of such an event will be discussed with a brief review of the literature.

Keyword

Anerysms; Rupture; Anesthesia; Clipping

MeSH Terms

Anesthesia*
Aneurysm
Arrhythmias, Cardiac
Blood Pressure
Diagnosis
Hemorrhage
Humans
Intracranial Aneurysm*
Rupture
Vital Signs