CEREBRAL ANEURYSM SURGERY IN A PATIENT WITH PHEOCHROMOCYTOMA

This case report describes the peri-operative management of a 48-year- old woman with three cerebral aneurysms and phaeochromocytoma. The pha rmacological and anaesthetic management of such patients is complex, a nd needs to be managed carefully by titrating anaesthetic agents and v asoactive drugs. The primary concern is the maintenance of cerebral pe rfusion pressure and autoregulation throughout the procedure, although these states cannot be monitored directly. The patient survived the o peration neurologically intact, and it is presumed that the course of management which was chosen helped to achieve this result.