De Novo Aneurysm of the Anterior Communicating Artery Presenting with Subarachnoid Hemorrhage 7 Years After Initial Cryptogenic Subarachnoid Hemorrhage: A Case Report and Review of the Literature
Autor: | Gregory Ehrlich, Peter Schmiedek, Johann Scharf, M.-M. al Mahdi, Holger Wenz, Marcel Seiz |
---|---|
Rok vydání: | 2014 |
Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage Neurology medicine.diagnostic_test business.industry De novo aneurysm Digital subtraction angiography medicine.disease nervous system diseases Surgery Anterior communicating artery Aneurysm medicine.artery medicine Radiology Nuclear Medicine and imaging cardiovascular diseases Neurology (clinical) Neurosurgery Radiology business Neuroradiology |
Zdroj: | Clinical Neuroradiology. 25:93-97 |
ISSN: | 1869-1447 1869-1439 |
DOI: | 10.1007/s00062-013-0278-y |
Popis: | Spontaneous subarachnoid hemorrhage (SAH) is usually caused by a ruptured cerebral aneurysm. Despite the use of initial four-vessel cerebral digital subtraction angiography (DSA), 15 % of all cases remain idiopathic. According to the initial computed tomographic scan, the spontaneous SAH can be divided into a perimesencephalic group associated with a benign nature and a nonperimesencephalic group with a similar clinical course as aneurysmal SAH. We present a case of a 49-year-old man with a de novo aneurysm formation of the anterior communicating artery with SAH 7 years after initial cryptogenic nonperimesencephalic SAH. This observation suggests that in some cases, long-term angiographic studies might be justified. |
Databáze: | OpenAIRE |
Externí odkaz: |