Cargando…

Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report

Intracranial aneurysm rupture usually manifests with subarachnoid hemorrhage, often combined with intracerebral hemorrhage with intraventricular hemorrhage extension. In rare cases, however, these aneurysms present only as subdural hematomas. Recently, we treated a 48-years-old female patient who pr...

Descripción completa

Detalles Bibliográficos
Autores principales: Song, Tae-Wook, Kim, Sung-Hyun, Jung, Seung-Hoon, Kim, Tae-Sun, Joo, Sung-Pil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4726640/
https://www.ncbi.nlm.nih.gov/pubmed/26844020
http://dx.doi.org/10.1186/s40064-016-1727-2
_version_ 1782411862680272896
author Song, Tae-Wook
Kim, Sung-Hyun
Jung, Seung-Hoon
Kim, Tae-Sun
Joo, Sung-Pil
author_facet Song, Tae-Wook
Kim, Sung-Hyun
Jung, Seung-Hoon
Kim, Tae-Sun
Joo, Sung-Pil
author_sort Song, Tae-Wook
collection PubMed
description Intracranial aneurysm rupture usually manifests with subarachnoid hemorrhage, often combined with intracerebral hemorrhage with intraventricular hemorrhage extension. In rare cases, however, these aneurysms present only as subdural hematomas. Recently, we treated a 48-years-old female patient who presented only with subdural hematoma. Interestingly, she did not have a history of trauma. Computed tomography angiography and digital subtraction angiography revealed a 5 × 3 mm sized aneurysm at the A3–A4 junction of the left anterior cerebral artery. On admission, emergency operation (clipping and hematoma evacuation) was performed to protect against re-bleeding. Along with postoperative intensive care, the patient returned to normal daily life with only a mild headache. Given that patients may present with atraumatic acute subdural hematoma, the clinician must bear in mind the possibility of intracranial vascular pathology and obtain angiographic scans to evaluate for any underlying conditions to prevent patient deaths.
format Online
Article
Text
id pubmed-4726640
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Springer International Publishing
record_format MEDLINE/PubMed
spelling pubmed-47266402016-02-03 Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report Song, Tae-Wook Kim, Sung-Hyun Jung, Seung-Hoon Kim, Tae-Sun Joo, Sung-Pil Springerplus Case Study Intracranial aneurysm rupture usually manifests with subarachnoid hemorrhage, often combined with intracerebral hemorrhage with intraventricular hemorrhage extension. In rare cases, however, these aneurysms present only as subdural hematomas. Recently, we treated a 48-years-old female patient who presented only with subdural hematoma. Interestingly, she did not have a history of trauma. Computed tomography angiography and digital subtraction angiography revealed a 5 × 3 mm sized aneurysm at the A3–A4 junction of the left anterior cerebral artery. On admission, emergency operation (clipping and hematoma evacuation) was performed to protect against re-bleeding. Along with postoperative intensive care, the patient returned to normal daily life with only a mild headache. Given that patients may present with atraumatic acute subdural hematoma, the clinician must bear in mind the possibility of intracranial vascular pathology and obtain angiographic scans to evaluate for any underlying conditions to prevent patient deaths. Springer International Publishing 2016-01-26 /pmc/articles/PMC4726640/ /pubmed/26844020 http://dx.doi.org/10.1186/s40064-016-1727-2 Text en © Song et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Study
Song, Tae-Wook
Kim, Sung-Hyun
Jung, Seung-Hoon
Kim, Tae-Sun
Joo, Sung-Pil
Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report
title Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report
title_full Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report
title_fullStr Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report
title_full_unstemmed Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report
title_short Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report
title_sort rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report
topic Case Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4726640/
https://www.ncbi.nlm.nih.gov/pubmed/26844020
http://dx.doi.org/10.1186/s40064-016-1727-2
work_keys_str_mv AT songtaewook ruptureofdistalanteriorcerebralarteryaneurysmpresentingonlysubduralhemorrhagewithoutsubarachnoidhemorrhageacasereport
AT kimsunghyun ruptureofdistalanteriorcerebralarteryaneurysmpresentingonlysubduralhemorrhagewithoutsubarachnoidhemorrhageacasereport
AT jungseunghoon ruptureofdistalanteriorcerebralarteryaneurysmpresentingonlysubduralhemorrhagewithoutsubarachnoidhemorrhageacasereport
AT kimtaesun ruptureofdistalanteriorcerebralarteryaneurysmpresentingonlysubduralhemorrhagewithoutsubarachnoidhemorrhageacasereport
AT joosungpil ruptureofdistalanteriorcerebralarteryaneurysmpresentingonlysubduralhemorrhagewithoutsubarachnoidhemorrhageacasereport