Document Detail

Intracerebral hematoma due to ruptured nontraumatic middle meningeal artery aneurysm--case report.
MedLine Citation:
PMID:  11803588     Owner:  NLM     Status:  MEDLINE    
A 77-year-old woman suddenly lost consciousness and presented with right hemiparesis. Computed tomography showed a large subcortical hematoma in her left frontal lobe associated with subarachnoid hemorrhage. The first impression was hemorrhage due to a ruptured aneurysm of the middle cerebral or the internal carotid artery on the left. Left internal carotid angiography showed no aneurysm or vascular anomaly, but back flow of contrast medium into the external carotid artery disclosed two saccular aneurysms arising from the anterior branch of the left middle meningeal artery (MMA). Emergent surgical intervention confirmed that the hematoma was due to ruptured MMA aneurysm. Nontraumatic MMA aneurysm should be recognized as a possible causative lesion of intracranial hemorrhage despite the extremely low incidence. External carotid angiography should be performed in patients with intracranial hemorrhage in whom no vascular cause can be detected in the internal carotid system.
H Kobata; H Tanaka; Y Tada; K Nishihara; A Fujiwara; T Kuroiwa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  41     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2001 Dec 
Date Detail:
Created Date:  2002-01-23     Completed Date:  2002-02-26     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:  611-4     Citation Subset:  IM    
Osaka Mishima Critical Care Medical Center, Takatsuki, Osaka.
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MeSH Terms
Aneurysm, Ruptured / diagnosis,  surgery*
Cerebral Angiography
Cerebral Hemorrhage / diagnosis,  surgery*
Diagnosis, Differential
Hematoma / diagnosis,  surgery*
Intracranial Aneurysm / diagnosis,  surgery*
Meningeal Arteries / pathology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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