title: Detection of unanticipated intracranial hemorrhage during intraoperative magnetic resonance image-guided neurosurgery. Report of two cases.
abstract: The authors report unanticipated intraoperative intracranial hemorrhaging in two pediatric neurosurgical patients. Both children were undergoing elective craniotomies with the aid of intraoperative magnetic resonance (iMR) imaging. In both cases, the ability of iMR imaging to aid in diagnosis allowed prompt and definitive treatment of potentially life-threatening complications. These cases illustrate the ability of iMR imaging to aid in differentiating unexpected and/or unexplained intraoperative events in pediatric neurosurgery.
authors.affiliation: Department of Anesthesiology, Perioperative and Pain Medicine, Children's Hospital Boston, Massachusetts 02115, USA. craig.mcclain@childrens.harvard.edu
authors.forename: Craig D
authors.initials: CD
authors.lastname: McClain
authors.forename: Sulpicio G
authors.initials: SG
authors.lastname: Soriano
authors.forename: Liliana C
authors.initials: LC
authors.lastname: Goumnerova
authors.forename: Peter M
authors.initials: PM
authors.lastname: Black
authors.forename: Mark A
authors.initials: MA
authors.lastname: Rockoff
mesh_terms: D001932:Brain Neoplasms / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D004806:Ependymoma / Q000601:surgery; D005260:Female; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D007431:Intraoperative Complications / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D019635:Neurosurgical Procedures / Q000009:adverse effects*; D010296:Parietal Lobe / Q000601:surgery; D025321:Surgery, Computer-Assisted; D013702:Temporal Lobe / Q000601:surgery