Journal of Spine & NeurosurgeryISSN: 2325-9701

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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: [email protected]
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.

Keywords: Subarachnoid hemorrhage; Vasospasm; Triple-H therapy; Induced hypertension; Unruptured; Untreated; Unprotected; Intracerebral aneurysm

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