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CC BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2016; 03(03): 265-267
DOI: 10.4103/2348-0548.190084
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Anaesthetic management of a case of giant cerebral aneurysm with persistent hypoglossal artery

Prakash C. Bharamagoudar
1   Department of Anesthesiology, P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
,
Joseph N. Monteiro
1   Department of Anesthesiology, P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
,
Ratan R. Chelani
1   Department of Anesthesiology, P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
,
Shwetal U. Goraksha
1   Department of Anesthesiology, P.D. Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
› Author Affiliations
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Publication History

Publication Date:
05 May 2018 (online)

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Abstract

The persistent hypoglossal artery is a rare carotid basilar anastomosis associated with hypoplastic or absent vertebral arteries. We report a case of clipping of a 2.5 cm size giant aneurysm just distal to the persistent hypoglossal branch, using intra-arterial balloon occlusion and adenosine induced near flow arrest method. It was an anaesthetic challenge to maintain haemodynamic and homeostatic equilibrium throughout the procedure.

Keywords

Adenosine - giant aneurysm - intra-arterial balloon occlusion - persistent hypoglossal artery
 

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