Anaesthesia for an Intracranial Aneurysm Clipping in A 93 Year Old Patient

Abstract

The incidence of subarachnoid hemorrhage from cerebral aneurysm rupture increases with age. Primary predictors of long-term outcome in elderly patients with aneurysmal subarachnoid hemorrhage depend on the general clinical condition at the time of admission and the patient’s age. As the incidence of aneurysmal rupture increases with advancing age, clipping decision should be made according to angiographic caractheristics, World Federation of Neurological Surgerons (WFNS) grade at admission and the presence of comorbidities. In this case report, a 93 year old, male patient with a ruptured intracranial aneurysm at the middle cerebral artery bifurcation has been discussed in respect to anaesthetic management.