Spontaneous intracerebral hemorrhage during left hemihepatectomy in a cirrhotic patient

Abstract

Spontaneous intracerebral hemorrhage (sICH) is bleeding that occurs without trauma or known structural abnormality. Hypertension is a main cause of sICH, but liver cirrhosis may be another reason; however, this rarely occurs under anesthesia. We report on a case of sICH in a 75-yearold woman patient with liver cirrhosis during left hemihepatectomy. And the literature on the usefulness of perioperative bispectral index monitoring for early detection of brain damage is reviewed.This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.