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Updated: Jul 3, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Rupture of intracranial aneurysm after partial clipping due to aspiration drainage system--a case report
Hemanshu Prabhakar1, Parmod K Bithal, Rajendra S Chouhan
1Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi, India. prabhakarhemanshu@rediffmail.com
Abstract:
In neurosurgical practice, extradural or subgaleal drains are commonly placed and connected to a vacuum system. Several reports have described severe bradycardia or arterial hypotension, or both, after connection of negative suction pressure to the extradural or epicranial drains following craniotomy. We encountered an unusual complication with the use of the vacuum drain after an elective aneurysmal clipping surgery. Our case is an iatrogenic intracranial hypotension leading to a clinically significant and potentially fatal complication.
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