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Subarachnoid hemorrhage due to ruptured posterior cerebral artery aneurysm simultaneously associated with multiple remote intracerebral hemorrhages--case report

Subarachnoid hemorrhage due to ruptured posterior cerebral artery aneurysm simultaneously associated with multiple remote intracerebral hemorrhages--case report

Authors :
Takashi Inoue
Shinya Sonobe
Hidenori Endo
Hiroaki Shimizu
Miki Fujimura
Teiji Tominaga
Source :
Neurologia medico-chirurgica. 51(12)
Publication Year :
2011

Abstract

A 61-year-old woman presented with aneurysmal subarachnoid hemorrhage (SAH) associated with multiple remote intracerebral hemorrhages (ICHs). She had undergone microsurgical neck clipping for ruptured right middle cerebral artery aneurysm and ventriculo-peritoneal shunting 16 years previously. Computed tomography revealed SAH predominantly in the basal cistern and ambient cistern, in association with multiple ICHs in the bilateral tegmentum of the brain stem and right caudate nucleus. Digital subtraction angiography revealed an aneurysm at the P(1) segment of the left posterior cerebral artery. The ruptured aneurysm was microsurgically clipped via a left subtemporal approach without complications. Simultaneous occurrence of aneurysmal SAH and multiple remote ICHs is rare. The spatial pattern of the ICHs in the present case is apparently unique.

Details

ISSN :
13498029
Volume :
51
Issue :
12
Database :
OpenAIRE
Journal :
Neurologia medico-chirurgica
Accession number :
edsair.doi.dedup.....fa50a9896de3270c56942f512f1fa31b