Three Interesting Case Reports of Intracranial Aneurysm Managed with Triple 'H' Therapy.
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Date
2014-12
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Abstract
Anaesthesia for aneurysm surgeries is highly specialized
and unique. Vasospasm is the most important determinant
for morbidity and mortality in intracranial aneurysms. For
prevention and management of vasospasm Triple-H therapy
(Hypertension, Hypervolemia and Haemodilution) is
recommended. Triple-H therapy is gold standard in neuroanaesthesia
in intracranial aneurysm surgeries in order to
increase cerebral blood flow in areas affected by vasospasm
and avoid damage caused by ischemia. First patient was
52 years old female with Right vertebral artery posterior
inferior cerebellar artery aneurysm of size 1cm, operated
successfully who became unconscious 22 hours after
surgery and treated with Triple-H therapy for vasospasm.
Second case was 48 years old male patient of right anterior
cerebral artery aneurysm of 9mm size operated successfully
after intraoperative rupture of aneurysm and subsequent
vasospasm. Third case was 35 years pregnant female patient
of anterior communicating artery aneurysm of 5mm size
treated with triple H therapy for vasospasm.
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Keywords
intracranial aneurysm, triple ‘H’ therapy, vasospasm
Citation
Vali L F, Giri Pramod, Khobragade Sonali. Three Interesting Case Reports of Intracranial Aneurysm Managed with Triple 'H' Therapy. Indian Medical Gazette. 2014 Dec ; 148 (12): 472-476.