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Hindi Case Report, J Spine Neurosurg Vol: 3 Issue: 5
Acute Rupture of a Previously Unruptured, Untreated Intracerebral Aneurysm during Induced Hypertension for Vasospasm in Subarachnoid Hemorrhage
| Matthew R Reynolds1*, Matthew E Mollman1, Rory KJ Murphy1, Eric J Arias1 and Gregory J Zipfel1,2,3 | |
| 1Department of Neurological Surgery, Washington University Medical School, St. Louis, Missouri, USA | |
| 2Department of Neurology, Washington University Medical School, St. Louis, Missouri, USA | |
| 3Department of Radiology, Washington University Medical School, St. Louis, Missouri, USA | |
| Corresponding author : Matthew R Reynolds Barnes-Jewish Hospital, Department of Neurological Surgery, Campus Box 8057, 660 South Euclid Avenue, St. Louis, Missouri 63110, USA Tel: (314) 362-3636; Fax: (314) 362-2107 E-mail: ReynoldsM@wudosis.wustl.edu |
|
| Received: April 30, 2013 Accepted: May 23, 2014 Published: May 28, 2014 | |
| Citation: Reynolds MR, Mollman ME, Murphy RKJ, Arias EJ, Zipfel GJ (2014) Acute Rupture of a Previously Unruptured, Untreated Intracerebral Aneurysm during Induced Hypertension for Vasospasm in Subarachnoid Hemorrhage. J Spine Neurosurg 3:5 doi:10.4172/2325-9701.1000152 |
Abstract
Acute Rupture of a Previously Unruptured, Untreated Intracerebral Aneurysm during Induced Hypertension for Vasospasm in Subarachnoid Hemorrhage
Patients with aneurysmal subarachnoid hemorrhage (SAH) often have other unruptured, untreated intracerebral aneurysms following treatment of the ruptured aneurysm. If symptomatic vasospasm then occurs, vasopressor-induced hypertension (VIH) can be initiated to prevent delayed ischemic neurological deficits (DIND) resulting from vasospasm-induced cerebral ischemia. While induced arterial hypertension is commonly utilized in this clinical scenario, the risk of rupturing a previously unruptured aneurysm during VIH therapy is unknown.
