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

Shinya Sonobe, Miki Fujimura, Hidenori Endo, Takashi Inoue, Hiroaki Shimizu, Teiji Tominaga

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

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 P1 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.

Original languageEnglish
Pages (from-to)836-838
Number of pages3
JournalNeurologia medico-chirurgica
Volume51
Issue number12
DOIs
Publication statusPublished - 2011 Dec 25

Keywords

  • Cerebral aneurysm
  • Intracerebral hemorrhage
  • Simultaneous occurrence
  • Subarachnoid hemorrhage
  • Tegmentum

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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