Successful perioperative management of a pediatric patient scheduled for the clipping of a recurrent intracranial aneurysm: A case report

Cerebral aneurysms are rarely known to occur in the pediatric population. There are less than 5% of the total cerebral aneurysms seen in patients younger than 18 years of age. Anesthetic management of pediatric patients undergoing cerebral aneurysm clipping is challenging, and the goals include prevention of anxiety, smooth induction, maintenance of stable hemodynamic parameters and cerebral perfusion pressure, adequate depth of anesthesia, adequate brain relaxation and smooth extubation to facilitate early postoperative neurological examinations. There is a paucity of literature on the anesthetic management of pediatric patients scheduled for clipping of intracranial aneurysms. We describe the successful anesthetic management of a child with a history of recurrent intracranial aneurysms scheduled for craniotomy and clipping.