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Anesthesia for intracranial neurovascular procedures in adults

Authors
Laurel E Moore, MD
Magnus K Teig, BMedSc (Hons.), MBChB, MRCP, FRCA, EDIC, FFICM
Vijaykumar Tarnal, MD, FRCA
Section Editor
Jeffrey J Pasternak, MD
Deputy Editor
Marianna Crowley, MD

INTRODUCTION

Intracranial vascular lesions are relatively common abnormalities that may require elective or emergent intervention. This topic will discuss anesthetic management for craniotomy for unruptured and ruptured intracranial aneurysm clipping, resection of arteriovenous malformations, extracranial-to-intracranial bypass procedures, and interventional radiologic treatment of intracranial neurovascular lesions.

Epidemiology, evaluation, and management of subarachnoid hemorrhage and the diagnosis and management of unruptured aneurysms and brain atriovenous malformations (AVMs) are discussed separately. (See "Clinical manifestations and diagnosis of aneurysmal subarachnoid hemorrhage" and "Unruptured intracranial aneurysms" and "Brain arteriovenous malformations" and "Treatment of cerebral aneurysms".)

INTRACRANIAL ANEURYSMS

Intracranial aneurysms may be treated with clipping via craniotomy, endovascular intervention, or with a combination of surgical and endovascular techniques. (See "Treatment of cerebral aneurysms".)

Anesthesia for craniotomy is discussed more fully separately. (See "Anesthesia for craniotomy".)

The anesthetic concerns specific to craniotomy for aneurysm clipping are discussed here.

                                     

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Literature review current through: Nov 2016. | This topic last updated: Wed Nov 02 00:00:00 GMT+00:00 2016.
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