Zeitschrift für Wirbelsäulen- und Neurochirurgie

Acute Rupture of a Previously Unruptured, Untreated Intracerebral Aneurysm during Induced Hypertension for Vasospasm in Subarachnoid Hemorrhage

Matthew R Reynolds, Matthew E Mollman, Rory KJ Murphy,Eric J Arias and Gregory J Zipfel

Acute Rupture of a Previously Unruptured, Untreated Intracerebral Aneurysm during Induced Hypertension for Vasospasm in Subarachnoid Hemorrhage

Patients with aneurysmal subarachnoid hemorrhage (SAH) often have other unruptured, untreated intracerebral aneurysms following treatment of the ruptured aneurysm. If symptomatic vasospasm then occurs, vasopressor-induced hypertension (VIH) can be initiated to prevent delayed ischemic neurological deficits (DIND) resulting from vasospasm-induced cerebral ischemia. While induced arterial hypertension is commonly utilized in this clinical scenario, the risk of rupturing a previously unruptured aneurysm during VIH therapy is unknown.