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CASE REPORT
Ahead of print publication  

Anaesthetic management of a ruptured cerebral aneurysm in an infant


 Department of Anaesthesiology, Vardhman Mahavir Medical College and Safdarjang Hospital, New Delhi, India

Correspondence Address:
Kumar N Chandra,
J 14, Type 2, Safdarjang Staff Quarter, West Kidwai Nagar, New Delhi - 110 023
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2348-0548.154240

  Abstract 

Cerebral aneurysm in infancy is rare. This is the case report of an infant with ruptured cerebral aneurysm who presented with high-grade fever and seizure and admitted in the neurosurgery department. Computed tomography angiography (CTA) brain done earlier showed aneurysm arising from peripheral branch of right anterior cerebral artery. The sudden clinical deterioration necessitated urgent surgical intervention and was conducted under general anaesthesia with invasive haemodynamic monitoring. Massive blood loss with raised intracranial pressure and the resultant haemodynamic instability was well-managed. Temperature was maintained throughout the surgery. Prompt intervention at the appropriate time combined with the effective management resulted in the good neurological recovery of the child. The infant was discharged the next day from intensive care unit to ward.

Keywords: Anaesthetic management, craniotomy, hypothermia, infant, intracranial aneurysm



How to cite this URL:
Chandra KN, Gupta A. Anaesthetic management of a ruptured cerebral aneurysm in an infant. J Neuroanaesthesiol Crit Care [Epub ahead of print] [cited 2019 Jan 16]. Available from: http://www.jnaccjournal.org/preprintarticle.asp?id=154240

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