dicumarol and Intracranial-Aneurysm

A Polycentric International Study was performed to evaluate the diagnostic methods in patients with cerebrovascular diseases. New tools and new non-invasive methods were proposed by the 15 centers collaborating in this study. The difficulty of defining a standard method to investigate not invasively and invasively these patients still remains.

Topics: Brain Ischemia; Brain Neoplasms; Carotid Artery Diseases; Cerebral Angiography; Cerebral Hemorrhage; Cerebrovascular Disorders; Clinical Trials as Topic; Diagnosis, Differential; Dicumarol; Embolism; Heparin; Humans; International Cooperation; Intracranial Aneurysm; Methods; Mitral Valve Prolapse; Plethysmography, Impedance; Ultrasonography

A 19-year-old man with congenital cyanotic heart disease experienced subarachnoid bleeding from a ruptured cerebral aneurysm. Immediate rebleeding with disordered hemostasis caused by prophylactic anticoagulation treatment was the cause of death. Medical progress in repairing congenital heart disease or attenuating its effects has increased the life expectancy of such patients. Anesthesiologists who are not specialized in this area may find themselves assuming responsibility for these patients during non-cardiac surgery of greater or lesser extension.

Topics: Adult; Aneurysm, Ruptured; Anticoagulants; Cyanosis; Dicumarol; Encephalocele; Fatal Outcome; Heart Septal Defects, Ventricular; Humans; Intracranial Aneurysm; Intracranial Hypertension; Intraoperative Complications; Male; Postoperative Complications; Prothrombin; Pulmonary Atresia; Recurrence; Subarachnoid Hemorrhage; Thromboembolism