Document Detail

Giant aneurysm of the azygos anterior cerebral artery associated with acute subdural hematoma--case report.
MedLine Citation:
PMID:  1383859     Owner:  NLM     Status:  MEDLINE    
A ruptured giant aneurysm of the azygos anterior cerebral artery (ACA) associated with an acute subdural hematoma (SDH) occurred in a 67-year-old male with two episodes of sudden severe headache and transient loss of consciousness. Neurologically, he had mild weakness of the left lower extremity. Computed tomography showed an elliptical heterogeneous hyperdense mass in the interhemispheric fissure in front of the corpus callosum and an acute SDH on the right. Angiography disclosed a giant aneurysm (2.8 x 2.0 cm) at the distal end of the azygos ACA. Removal of the SDH and aneurysmal neck clipping achieved a good outcome. Successive small bleedings may allow the aneurysmal dome to develop adhesions to the arachnoid membrane, and the final rupture will occur into the subdural space, resulting in a SDH.
K Hashizume; H Nukui; T Horikoshi; M Kaneko; A Fukamachi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  32     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-11-04     Completed Date:  1992-11-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  693-7     Citation Subset:  IM    
Department of Neurosurgery, Yamanashi Medical College.
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MeSH Terms
Acute Disease
Cerebral Angiography
Hematoma, Subdural / etiology*,  surgery
Intracranial Aneurysm / complications*,  surgery
Rupture, Spontaneous
Tomography, X-Ray Computed

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