Intracrebral Hemorrhage Remote from the Site of Aneurysm Surgery.
- Author:
Joo Whan LEE
1
;
Man Bin YIM
;
Jang Chull LEE
;
Eun Ik SON
;
Dong Won KIM
;
In Hong KIM
Author Information
1. Department of Neurosurgery, School of Medicine, Keimyung University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Blood pressure;
Cerebral aneurysm;
Postoperative hemorrhage;
Remote site;
Surgery
- MeSH:
Aneurysm*;
Blood Pressure;
Cerebellum;
Cerebral Hemorrhage;
Hemorrhage*;
Humans;
Intracranial Aneurysm;
Postoperative Hemorrhage;
Postoperative Period
- From:Journal of Korean Neurosurgical Society
1996;25(4):834-841
- CountryRepublic of Korea
- Language:English
-
Abstract:
In order to find out possible causes and measures for prevention of intracerebral hemorrhage remote from the site of cerebral aneurysm surgery, the authors analyzed five patients who developed such a complication following aneurysm surgery among 720 surgical cases of cerebral aneurysm. The aneurysm sites were posterior communicating artery(Pcom) in two cases, anterior communicating artery(Acom) in two, and Acom and middle cerebral artery(MMCA) in one. The hemorrhages in three cases occurred in the cerebellum. One in the contralateral hemisphere and one in the ipsilateral hemisphere to the operation site. All hemorrhages except one occurred vasospasm preoperatively. Fluctuation of blood pressure with sudden elevation to high level was noticed in three cases preoperatively and in all cases postoperatively. We conclude that sudden elevation of blood pressure during the remission stage of vasospasm seems to be possible cause for remote hemorrhage. To prevent this complication, we recommend meticulous control of blood pressure during surgery and in the postoperative period, especially in cases that showed fluctuation of blood pressure preoperatively.
