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Year : 2012  |  Volume : 60  |  Issue : 4  |  Page : 419--422

Brainstem hemorrhage following clipping of anterior communicating aneurysm: Is lumbar drain responsible?

Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India

Correspondence Address:
Paritosh Pandey
Department of Neurosurgery, NIMHANS, Bangalore, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.100707

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Remote brainstem hemorrhage is an extremely rare complication following supratentorial surgery. We describe here a 55-year-old patient with ruptured anterior communicating artery aneurysm, who underwent an uneventful clipping of the aneurysm, and had a lumbar drainage intra-operatively to facilitate brain relaxation. In the postoperative period, he developed pontomesencephalic hemorrhage, and had a fatal outcome. The potential causative factors are discussed, and the relevant literature reviewed. This is probably the first reported case of this complication in the literature.


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Online since 20th March '04
Published by Wolters Kluwer - Medknow