Related Experiment Video
Updated: Aug 13, 2025
Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
Published on: August 30, 2020
Case Report: Rhabdomyolysis in aneurysmal subarachnoid hemorrhage: A rare case with implications for management
Gang Liao1, Kang Chen1, Jiang Xu1
1Department of Neurosurgery, First Affiliated Hospital of Nanchang University, Nanchang City, China.
Background:
In recent years, some cases of rhabdomyolysis after surgery have been reported. In this report, we present an adult patient with rhabdomyolysis after intracranial aneurysm surgery.
Case Report:
A 59-year-old male suffered from a coma, fever, and soy sauce urine after intracranial aneurysm clipping. A routine blood examination showed that liver and kidney function were impaired, and creatine phosphokinase(CK) and creatine phosphokinase isoenzyme(CK-MB) levels increased. Therefore, we consider patients with rhabdomyolysis after intracranial aneurysm surgery. A series of treatment schemes, such as intravenous fluid infusion, alkalized urine, and hemodialysis, were adopted immediately, and finally the patient was discharged safely.
Conclusion:
For some postoperative patients, once the level of CK/CK-MB increases, acute renal damage occurs, and the urine color turns soy sauce, we should be alert to postoperative rhabdomyolysis.For those patients who have been diagnosed with rhabdomyolysis, we need to take timely treatment measures to avoid an unfortunate occurrence.
Insights
Rhabdomyolysis, a condition causing muscle breakdown, can occur after intracranial aneurysm surgery. Early detection of elevated creatine phosphokinase (CK) and prompt treatment are crucial for patient recovery and preventing kidney damage.
Area of Science:
- Neurosurgery
- Nephrology
- Intensive Care Medicine
Background:
- Rhabdomyolysis is a rare but serious complication following surgical procedures.
- Intracranial aneurysm surgery presents unique challenges and potential risks, including muscle injury.
- This report focuses on a specific case to highlight the occurrence of rhabdomyolysis post-neurosurgery.
Observation:
- A 59-year-old male presented with coma, fever, and dark, soy sauce-colored urine post-intracranial aneurysm clipping.
- Laboratory results revealed impaired liver and kidney function, with significantly elevated creatine phosphokinase (CK) and CK-isoenzyme (CK-MB) levels.
- These clinical and biochemical findings were indicative of rhabdomyolysis.
Findings:
- The patient was diagnosed with rhabdomyolysis secondary to intracranial aneurysm surgery.
- Immediate interventions included intravenous fluid resuscitation, urine alkalization, and ultimately, hemodialysis.
- The patient demonstrated a positive response to treatment and was safely discharged.
Implications:
- Postoperative monitoring for elevated CK/CK-MB levels and changes in urine color is essential for early rhabdomyolysis detection.
- Prompt and aggressive management of rhabdomyolysis is critical to prevent acute kidney injury and other severe complications.
- This case underscores the importance of recognizing and managing rhabdomyolysis in the context of neurosurgical interventions.
More Related Videos
09:14Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
Published on: June 18, 2021
09:00The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects
Published on: October 2, 2014
Related Concept Videos
01:26Aneurysm III: Interprofessional Care
01:22Aneurysm IV: Nursing Management
01:20Acute Kidney Injury V: Interprofessional Care
01:26Nephrotic Syndrome II : Assessment and Medical Management
01:22Acute Kidney Injury VI: Nursing Management