An 18-year-old man was brought to the Emergency Department of your major hospital via ambulance after suffering a seizure at university this afternoon. A CT brain has been performed which reveals the suspicion of an arteriovenous malformation (AVM) with associated haemorrhage. There is also a 15 mm diameter cerebral aneurysm that appears intact.
The patient requires digital subtraction angiography of his cerebral vessels and you are asked to provide anaesthetic support for this procedure.
Sections covered in this viva
Assessment and management of a patient with raised intracranial pressure (ICP)Anaesthetic plan for embolisation of arteriovenous malformation (AVM). Management of intraoperative AVM rupture.Management of raised ICP post-operatively