title: Brainstem hemorrhage following clipping of anterior communicating aneurysm: Is lumbar drain responsible?
abstract: Remote brainstem hemorrhage is an extremely rare complication following supratentorial surgery. We describe here a 55-year-old patient with ruptured anterior communicating artery aneurysm, who underwent an uneventful clipping of the aneurysm, and had a lumbar drainage intra-operatively to facilitate brain relaxation. In the postoperative period, he developed pontomesencephalic hemorrhage, and had a fatal outcome. The potential causative factors are discussed, and the relevant literature reviewed. This is probably the first reported case of this complication in the literature.
authors.affiliation: Department of Neurosurgery, NIMHANS, Bangalore, Karnataka, India.
authors.forename: Arindom
authors.initials: A
authors.lastname: Kakati
authors.forename: Dhaval
authors.initials: D
authors.lastname: Shukla
authors.forename: Anita
authors.initials: A
authors.lastname: Mahadevan
authors.forename: Paritosh
authors.initials: P
authors.lastname: Pandey
mesh_terms: D017542:Aneurysm, Ruptured / Q000601:surgery; D001933:Brain Stem; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery; D020300:Intracranial Hemorrhages; D013345:Subarachnoid Hemorrhage / Q000601:surgery