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Korean Journal of Anesthesiology 2006;51(2):257-260.
DOI: https://doi.org/10.4097/kjae.2006.51.2.257   
Intraventricular Hemorrhage during Cesarean Section under General Anesthesia: A case report.
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.
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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