Intraventricular Hemorrhage during Cesarean Section under General Anesthesia: A case report.
10.4097/kjae.2006.51.2.257
- Author:
Hui Wan KOO
1
;
Ji Seon SON
;
Young Jin HAN
;
Seong Hoon KO
;
He Sun SONG
Author Information
1. Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea. shko@chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
cesarean section;
cerebral hemorrhage;
general anesthesia;
intracranial aneurysm;
pregnancy
- MeSH:
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
- From:Korean Journal of Anesthesiology
2006;51(2):257-260
- CountryRepublic of Korea
- Language:Korean
-
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.
