Document Detail

Rupture of a large ophthalmic segment saccular aneurysm associated with closed head injury: case report.
MedLine Citation:
PMID:  10834656     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE AND IMPORTANCE: Although each year approximately 30,000 to 50,000 cases of subarachnoid hemorrhage in the United States are caused by the rupture of intracranial saccular aneurysms, there is little information in the literature documenting the association of aneurysmal rupture with closed head injury. CLINICAL PRESENTATION: A 61-year-old woman presented after a motor vehicle accident with multiple injuries, including a severe closed head injury. Computed tomography revealed a diffuse basal subarachnoid hemorrhage. Angiography revealed the source as a large aneurysm arising from the ophthalmic segment of the left carotid artery. INTERVENTION: After the patient was stabilized for her multiple injuries, she underwent craniotomy and clipping of the aneurysm. She recovered without developing new neurological deficits. CONCLUSION: Although the association of head trauma and aneurysmal subarachnoid hemorrhage is rare, the presence of significant basal subarachnoid blood on a computed tomographic scan should alert the physician to the possibility of a ruptured aneurysm.
J Rosenow; K Das; I Weitzner; W T Couldwell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  46     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-06-28     Completed Date:  2000-06-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1515-7     Citation Subset:  IM    
Department of Neurosurgery, New York Medical College, Valhalla 10595, USA.
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MeSH Terms
Aneurysm, Ruptured / diagnosis,  surgery*
Cerebral Angiography
Diagnosis, Differential
Head Injuries, Closed / diagnosis,  surgery*
Middle Aged
Multiple Trauma / diagnosis,  surgery
Ophthalmic Artery / injuries*
Subarachnoid Hemorrhage / diagnosis,  surgery
Tomography, X-Ray Computed

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