Concurrent Hypertensive Intracerebral Hemorrhage and Rupture of a Previously Clipped Intracranial Aneurysm.
- Author:
Won Sang CHO
1
;
Hyun Seung KANG
;
Hyon Jo KWON
;
Bae Ju KWON
;
Moon Hee HAN
;
Jeong Eun KIM
Author Information
1. Department of Neurosurgery, Kangwon National University Hospital, Chuncheon, Korea.
- Publication Type:Case Report
- Keywords:
Hypertensive intracerebral hemorrhage;
Intracranial aneurysm;
Subarachnoid hemorrhage
- MeSH:
Aneurysm;
Anterior Cerebral Artery;
Cerebral Hemorrhage;
Female;
Hemorrhage;
Humans;
Intracranial Aneurysm;
Intracranial Hemorrhage, Hypertensive;
Middle Aged;
Rupture;
Subarachnoid Hemorrhage;
Thalamus
- From:Korean Journal of Cerebrovascular Surgery
2010;12(1):13-18
- CountryRepublic of Korea
- Language:English
-
Abstract:
Simultaneous occurrence of remote intracerebral hemorrhage (ICH) and intracranial aneurysmal subarachnoid hemorrhage is very rare. We report on a case of concurrent hypertensive ICH at the left thalamus and rupture of an intracranial aneurysm at the bifurcation of the single A2 segment of the anterior cerebral artery in a 64-year-old woman, which was clipped previously, with review of the literature. To our knowledge, this is the first case report demonstrating bleeding of previously clipped aneurysm with simultaneous hypertensive ICH. Hypertensive crisis following ICH seems to have provoked rupture of the residual aneurysm.