title: Rupture of intracranial aneurysm after partial clipping due to aspiration drainage system--a case report.
abstract: In neurosurgical practice, extradural or subgaleal drains are commonly placed and connected to a vacuum system. Several reports have described severe bradycardia or arterial hypotension, or both, after connection of negative suction pressure to the extradural or epicranial drains following craniotomy. We encountered an unusual complication with the use of the vacuum drain after an elective aneurysmal clipping surgery. Our case is an iatrogenic intracranial hypotension leading to a clinically significant and potentially fatal complication.
authors.affiliation: Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi, India. prabhakarhemanshu@rediffmail.com
authors.forename: Hemanshu
authors.initials: H
authors.lastname: Prabhakar
authors.forename: Parmod K
authors.initials: PK
authors.lastname: Bithal
authors.forename: Rajendra S
authors.initials: RS
authors.lastname: Chouhan
authors.forename: Hari H
authors.initials: HH
authors.lastname: Dash
mesh_terms: D017542:Aneurysm, Ruptured / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015607:Stents / Q000009:adverse effects; D013396:Suction / Q000009:adverse effects*