Delayed rupture of pre-existing cerebral aneurysm in a young patient with minor head trauma

Cheng T. Hsieh, En Yuan Lin, Tung H. Tsai, Yung Hsiao Chiang, Da Tong Ju

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

An intracranial saccular aneurysm is not commonly diagnosed in a patient with head injury. We present a patient with a history of minor head trauma and a CT scan of the brain revealing minimal subarachnoid hemorrhage 17 days prior to admission, complaining of severe headache, dysarthria and focal right limb seizures 3 hours prior to admission. A traumatic aneurysm was suspected based on clinical history and radiological findings including hematoma in the falx region on a CT scan of the brain and an aneurysm of the pericallosal artery on magnetic resonance angiography and four-vessel cerebral angiography. However, at craniotomy, an intracranial non-traumatic saccular aneurysm at the bifurcation of the pericallosal artery was found. The patient recovered fully after successful clipping the aneurysm.

Original languageEnglish
Pages (from-to)1120-1122
Number of pages3
JournalJournal of Clinical Neuroscience
Volume14
Issue number11
DOIs
Publication statusPublished - Nov 2007
Externally publishedYes

Keywords

  • Head injury
  • Pre-existing aneurysm
  • Subarachnoid hemorrhage

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Neurology

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