Korean J Cerebrovasc Surg.
2010 Mar;12(1):13-18.
Concurrent Hypertensive Intracerebral Hemorrhage and Rupture of a Previously Clipped Intracranial Aneurysm
- Affiliations
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- 1Department of Neurosurgery, Kangwon National University Hospital, Chuncheon, Korea.
- 2Department of Neurosurger, Seoul National University College of Medicine, Seoul, Korea. hsk4428@yahoo.com
- 3Department of Radiology, Seoul National University College of Medicine, Seoul, Korea.
- 4Department of Neurosurgery, Chungnam National University College of Medicine, Daejeon, Korea.
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.
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