Anaesthetic Management of a Patient with Subarachnoid Hemorrhage, Multiple Cerebral Aneurysms and Type IV Takayasu Arteritis

Sanket Agrawal; Shailesh Gupta; Hemant Bhagat; Komal Gandhi; Navneet Singla

doi:10.1055/s-0038-1671689

Journal of Neuroanaesthesiology and Critical Care, Table of Contents

CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2018; 05(03): 201-203
DOI: 10.1055/s-0038-1671689

Case Report

Indian Society of Neuroanaesthesiology and Critical Care

Anaesthetic Management of a Patient with Subarachnoid Hemorrhage, Multiple Cerebral Aneurysms and Type IV Takayasu Arteritis

Sanket Agrawal

¹Division of Neuroanaesthesia, Department of Anaesthesia and Intensive care, Postgraduate Institute of Medical Education and Research, Chandigarh, India

,

Shailesh Gupta

¹Division of Neuroanaesthesia, Department of Anaesthesia and Intensive care, Postgraduate Institute of Medical Education and Research, Chandigarh, India

,

Hemant Bhagat

¹Division of Neuroanaesthesia, Department of Anaesthesia and Intensive care, Postgraduate Institute of Medical Education and Research, Chandigarh, India

,

Komal Gandhi

²Department of Anaesthesia and Intensive care, Postgraduate Institute of Medical Education and Research, Chandigarh, India

,

Navneet Singla

³Department of Neurosurgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India

› Author Affiliations

Abstract

Takayasu's arteritis (TA), also known as pulseless disease, is a granulomatous panarteritis affecting large vessels, predominantly the aorta and its main branches. Twenty percent of TA cases present with central nervous system involvement. It typically manifests as cerebral ischemia or stroke, when central nervous system disease is present. There are rare reports of intracranial aneurysms in adults with TA. We report the anesthetic management of a 16-year old female patient with TA type IV with multiple cerebral aneurysm with subarachnoid hemorrhage.

Keywords

cerebral aneurysm - hypertension - Takayasu arteritis

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References

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