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Cerebral aneurysm surgery in a patient with phaeochromocytoma

Published online by Cambridge University Press:  16 August 2006

A. Sahin
Affiliation:
Department of Anaesthesiology and Reanimation, Hacettepe University Faculty of Medicine, Ankara, Turkey
Ö. Erçelen
Affiliation:
Department of Anaesthesiology and Reanimation, Hacettepe University Faculty of Medicine, Ankara, Turkey
Ü. Aypar
Affiliation:
Department of Anaesthesiology and Reanimation, Hacettepe University Faculty of Medicine, Ankara, Turkey
A. Erbengi
Affiliation:
Department of Neurosurgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
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Abstract

This case report describes the peri-operative management of a 48-year-old woman with three cerebral aneurysms and phaeochromocytoma. The pharmacological and anaesthetic management of such patients is complex, and needs to be managed carefully by titrating anaesthetic agents and vasoactive drugs. The primary concern is the maintenance of cerebral perfusion pressure and autoregulation throughout the procedure, although these states cannot be monitored directly. The patient survived the operation neurologically intact, and it is presumed that the course of management which was chosen helped to achieve this result.

Type
Case Report
Copyright
1998 European Society of Anaesthesiology

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