| Intraventricular Hemorrhage during Cesarean Section under General Anesthesia: A case report. |
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Hui Wan Koo, Ji Seon Son, Young Jin Han, Seong Hoon Ko, He Sun Song |
1Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea. shko@chonbuk.ac.kr
2Institute of Cardiovascular Research, Chonbuk National University Medical School, Jeonju, Korea. |
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| Abstract |
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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. |
| Key Words:
cesarean section; cerebral hemorrhage; general anesthesia; intracranial aneurysm; pregnancy |
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