Minerva medica
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Author presents a ten-year experience in cerebral hemorrhages in infancy and childhood. The importance of congenital vascular malformations is specially remarked and it is also lined out the importance of cerebral hemorrhages due to head injuries, inflammatory process, hemopathies and brain tumors. Neuroradiological procedures are briefly described and the utility of the association computed tomography/cerebral angiography is pointed out. It is too presented a neuroradiological classification of cerebrovascular malformations.
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A well integrated and coordinated team between Neurosurgeon and Anesthetist is necessary to achieved the best results in aneurysm surgery. Drugs-induced hypotension, cerebral metabolic depressant drugs (such as thiopentone), new anaesthetic drugs, hypocapnia are the anaesthetic techniques of choice in intracranial aneurysm surgery.