J Cerebrovasc Endovasc Neurosurg.
2024 Jun;26(2):174-180. 10.7461/jcen.2023.E2023.08.010.
Two consecutive ruptured intracranial aneurysm in patient with multiple intracranial aneurysms
- Affiliations
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- 1Department of Neurosurgery, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, Korea
- 2Department of Neurosurgery, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University, Wonju, Korea
- KMID: 2556979
- DOI: http://doi.org/10.7461/jcen.2023.E2023.08.010
Abstract
- When aneurysmal subarachnoid hemorrhage due to multiple aneurysms is suspected, identifying the rupture site is essential to determine the exact surgical site, but it may not be easy. Even if embolization is adequately performed, complications may remain. Typical complications include rebleeding and hydrocephalus in the early phase and delayed cerebral ischemia in the delayed phase. Herein, we describe a case of rupture of an intracranial aneurysm after performing embolization for a different ruptured intracranial aneurysm in a patient with multiple intracranial aneurysms. Patients with multiple intracranial aneurysms need to be considered for closer observation than those with a single ruptured intracranial aneurysm, even if the patient’s prognosis is good.
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