Subarachnoid Hemorrhage Due to Ruptured Posterior Cerebral Artery Aneurysm Simultaneously Associated With Multiple Remote Intracerebral Hemorrhages-Case Report

被引：4
作者：
Sonobe, Shinya [1 ]
Fujimura, Miki [1 ]
Endo, Hidenori [1 ]
Inoue, Takashi [1 ]
Shimizu, Hiroaki [2 ]
Tominaga, Teiji [2 ]
机构：
[1] Kohnan Hosp, Dept Neurosurg, Sendai, Miyagi, Japan
[2] Tohoku Univ, Sch Med, Dept Neurosurg, Sendai, Miyagi 980, Japan
来源：
NEUROLOGIA MEDICO-CHIRURGICA | 2011年 / 51卷 / 12期
关键词：
cerebral aneurysm; subarachnoid hemorrhage; intracerebral hemorrhage; simultaneous occurrence; tegmentum; HEMATOMA; BLOOD;
D O I：
10.2176/nmc.51.836
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
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.
引用
收藏
页码：836 / 838
页数：3
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