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Journal of Korean Neurosurgical Society 1990;19(3): 428-432.
A Case of Giant Intracranial Aneurysm Treated with Total Circulatory Arrest, Hypothermia, and Barbiturate Cerebral Protection.
Jong Soo Kim, Jung Il Lee, Jin Myung Jung, Sun Ho Lee, Dae Hee Han, Yong Seok Oh
1Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.
2Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea.
We are reporting a case of giant intracranial aneurysm operated under circulatory arrest. The patient was a 36-year-old woman with right hemiparesis and dysarthria. Brain MRI and angiographgy disclosed a partially thrombosed, dumbbell-shaped giant aneurysm involving the left distal ICA and M1 portion of the MCA. The patient was treated with direct clipping under total circulatory arrest, hypothermia, and barbiturate cerebral protection. The clipping could be done more easily than with conventional methodology because the aneurysm was softened. But the patient didn't recover due to postoperative intracerebral hemorrhage and possible embolic infarct.
Key Words: Giant intracranial aneurysm; Total circulatory arrest; Hypothermia; Barbiturate cerebral protection
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