Anesthetic Management of Embolization for a Cerebral Aneurysm in Patient with Portal-systemic Encephalopathy: A case report.
10.4097/kjae.2007.53.3.419
- Author:
Jin Young HWANG
1
;
Duck Kyoung KIM
;
Ka Young RHEE
;
Won Kyoung KWON
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
anesthesia;
hyperammonemia;
portal-systemic shunt
- MeSH:
Anesthesia;
Anesthesia, General;
Aneurysm;
Carotid Artery, Internal;
Female;
Hepatic Encephalopathy*;
Humans;
Hyperammonemia;
Intracranial Aneurysm*;
Liver Diseases
- From:Korean Journal of Anesthesiology
2007;53(3):419-422
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The clinical syndrome of hyperammonemic encephalopathy is often encountered in the context of decompensated liver disease. Although it is rare in patients without hepatic disease, non-hepatic causes cannot be excluded. Anesthesiologists should be careful in choosing the anesthetic agent and perioperative management for hyperammonemic patients in order to avoid acute hyperammonemia and encephalopathy. We report successful general anesthesia during GDC (Guglielmi detachable coil) embolization for a large unruptured aneurysm in the right distal internal carotid artery in a female patient with hyperammonemic encephalopathy that was caused by a portal-systemic shunt.
