Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia

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 o...

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Detalles Bibliográficos
Autores principales: Chun, Duk-Hee, Kim, Na-Young, Shin, Yang-Sik
Formato: Texto
Lenguaje:English
Publicado: Yonsei University College of Medicine 2010
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2852812/
https://www.ncbi.nlm.nih.gov/pubmed/20376909
http://dx.doi.org/10.3349/ymj.2010.51.3.475
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author Chun, Duk-Hee
Kim, Na-Young
Shin, Yang-Sik
author_facet Chun, Duk-Hee
Kim, Na-Young
Shin, Yang-Sik
author_sort Chun, Duk-Hee
collection PubMed
description 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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spelling pubmed-28528122010-05-01 Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia Chun, Duk-Hee Kim, Na-Young Shin, Yang-Sik Yonsei Med J Case Report 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. Yonsei University College of Medicine 2010-05-01 2010-04-09 /pmc/articles/PMC2852812/ /pubmed/20376909 http://dx.doi.org/10.3349/ymj.2010.51.3.475 Text en © Copyright: Yonsei University College of Medicine 2010 http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Chun, Duk-Hee
Kim, Na-Young
Shin, Yang-Sik
Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia
title Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia
title_full Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia
title_fullStr Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia
title_full_unstemmed Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia
title_short Subarachnoid and Intraventricular Hemorrhage due to Ruptured Aneurysm after Combined Spinal-Epidural Anesthesia
title_sort subarachnoid and intraventricular hemorrhage due to ruptured aneurysm after combined spinal-epidural anesthesia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2852812/
https://www.ncbi.nlm.nih.gov/pubmed/20376909
http://dx.doi.org/10.3349/ymj.2010.51.3.475
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