Simultaneous presentation of two cerebral aneurysms

Masahiro Yoshida, Masayuki Ezura, Kazuto Sasaki, Masashi Chonan, Masaki Mino

Research output: Contribution to journalArticlepeer-review

Abstract

A 48-year-old woman experienced sudden onset of severe headache. Computed tomography showed subarachnoid hemorrhage (SAH) and intracerebral hematoma in the right frontal lobe. Digital subtraction angiography revealed three aneurysms in the anterior communicating artery (AcomA), the right posterior communicating artery (PcomA), and the right middle cerebral artery. The AcomA aneurysm was treated with endovascular coiling. However, her oculomotor nerve palsy was aggravated after the procedure. Embolization of the right PcomA aneurysm was conducted immediately and her oculomotor nerve palsy recovered completely 3 months later. Simultaneous presentation of multiple aneurysms with separate symptoms is rare. We speculate that the progressive oculomotor nerve palsy was caused by tiny enlargement or morphological change of the aneurysm caused by elevated blood pressure and pulsatile effect after SAH.

Original languageEnglish
Pages (from-to)921-923
Number of pages3
JournalNeurologia medico-chirurgica
Volume52
Issue number12
DOIs
Publication statusPublished - 2012

Keywords

  • Cerebral aneurysm
  • Endovascular treatment
  • Oculomotor palsy
  • Simultaneous presentation
  • Subarachnoid hemorrhage

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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