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Journal of Korean Neurosurgical Society 1987;16(3): 673-682.
Surgical Treatment of Intracranial Aneurysms That Rebled During the Induction of Anesthesia.
Dae Hee Han, Seung Chyul Hong, Sun Ho Lee, Bo Sung Sim, Kil Soo Choi
Department of Neurosurgery, College of Medicine, Seoul National University, Seoul, Korea.
Authors discuss on the operative treatment of intracranial aneurysms that rebled during the induction of anesthesia before the main surgical procedures. The preoperative state of the patients had been quite stable. The bleeding manifested itself by risk fluctuations in vital signs, e.g., arrhythmia and blood pressure changes. The operation became extremely difficult, requiring various maneuvers to make room for the clipping of the aneurysms and experienced surgical techniques. Postoperative morbidity was apparently increased, through the patients could recover well with painstaking efforts. Diagnosis and management of such an event will be discussed with a brief review of the literature.
Key Words: Anerysms; Rupture; Anesthesia; Clipping
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