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- Title
Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia.
- Authors
Duk-Hee Chun; Na-Young Kim; Yang-Sik Shin
- Abstract
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.
- Subjects
SUBARACHNOID hemorrhage; ANEURYSMS; ANESTHESIA complications; KNEE surgery; BLOOD pressure; HEADACHE; RADIOGRAPHY; BRAIN
- Publication
Yonsei Medical Journal, 2010, Vol 51, Issue 3, p475
- ISSN
0513-5796
- Publication type
Article
- DOI
10.3349/ymj.2010.51.3.475