Acta clinica Croatica, Vol. 55. No. 4., 2016.
Other
https://doi.org/10.20471/acc.2016.55.04.19
Combined treatment of ruptured middle cerebral artery aneurysm followed by subarachnoid hemorrhage and acute subdural hematoma in multiple aneurysm disease of cerebral blood vessels: case report
Nenad Novaković
; Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
Milan Lepić
; Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
Ljubodrag Minić
; Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
Ksenija Radenović
; Department of Neurosurgery, Military Medical Academy, Belgrade, Serbia
Ante Rotim
; School of Medicine, University of Rijeka, Rijeka, Croatia
Lukas Rasulić
orcid.org/0000-0002-5674-0425
; Clinical Department of Neurosurgery, Clinical Center of Serbia, Belgrade, Serbia
Abstract
Aneurysms of blood vessels at the base of the brain are pathological focal outpouchings, usually found at the branching points of the arteries. Aneurysm can remain silent for life. Clinical presentation is due to rupture and bleeding. In only 1.3% of cases it results in subdural hematoma, which is associated with direct interaction of the aneurysm with the basal arachnoid membrane. Multiple aneurysms are present in 15% to 33% of cases with subarachnoid hemorrhage. Assessment of these patients is more complicated, as there are no specific signs to pinpoint/detect the aneurysm that has ruptured. This report presents a 44-year-old female patient suffering from multiple cerebral aneurysm disease, who was urgently treated after rupture by both endovascular (for multiple aneurysms) and surgical (for acute subdural hematoma) approach in the same act under general anesthesia, which resulted in complete recovery of the patient.
Keywords
Intracranial aneurysm; Rupture – therapy; Subdural hematoma; Case reports
Hrčak ID:
178129
URI
Publication date:
15.12.2016.
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