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:
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