Aneurysm recurrence associated with induced hypertension and hypervolemia.
A case of angiographic recurrence of a previously clipped large distal basilar aneurysm associated with prolonged hypervolemic and hypertensive therapy for vasospasm is reported. Currently, the most effective therapy for reversing neurological deficits secondary to vasospasm and for augmenting cerebral blood flow is induced hypertension and hypervolemia. The complication of aneurysm enlargement with this therapeutic modality has been postulated but not previously demonstrated.
Adamson
T
T
Department of Surgery, University of Texas Health Science Center, Dallas 75235-9031.
Batjer
H
H
D001488:Basilar Artery; D001810:Blood Volume; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D007427:Intracranial Pressure; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D013035:Spasm / Q000209:etiology / Q000628:therapy*; D014652:Vascular Diseases / Q000209:etiology / Q000628:therapy*