Paroxysmal hyperadrenergic state. A case during surgery for intracranial aneurysm

Anaesthesia. 1976 Jul;31(6):743-9. doi: 10.1111/j.1365-2044.1976.tb11864.x.

Abstract

A case is reported of a patient with a cerebral aneurysm in whom it was difficult to induce hypotension. The hyperadrenergic state mimicked, in some respects, that seen in patients with neural crest lesions. Possible mechanisms are discussed and the anaesthetic management described.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anesthesia, General*
  • Female
  • Humans
  • Hypertension / drug therapy
  • Hypertension / etiology*
  • Hypotension, Controlled
  • Intracranial Aneurysm / complications
  • Intracranial Aneurysm / surgery*
  • Metanephrine / urine
  • Nitroprusside
  • Thiopental
  • Tubocurarine
  • Vanilmandelic Acid / urine

Substances

  • Nitroprusside
  • Metanephrine
  • Vanilmandelic Acid
  • Thiopental
  • Tubocurarine