| CASE REPORT |
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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?
Arindom Kakati, Dhaval Shukla, Anita Mahadevan, Paritosh Pandey
Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India
Correspondence Address:
Paritosh Pandey
Department of Neurosurgery, NIMHANS, Bangalore, Karnataka
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.100707
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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