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Simultaneous occurrence of subarachnoid hemorrhage due to ruptured aneurysm and remote hypertensive intracerebral hemorrhage: case report.
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MedLine Citation:
PMID:  11850607     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Simultaneous occurrence of aneurysmal subarachnoid hemorrhage (SAH) and hypertensive intracerebral hemorrhage (ICH) is very rare and only two cases have been previously reported in the literatures. We present a case of 68-yr-old man with a history of untreated hypertension, who suffered from sudden onset of headache followed by right hemiparesis. Computed tomographic (CT) scan revealed SAH in the basal cistern and remote ICH at the left putamen. Cerebral angiography showed a saccular aneurysm at the anterior communicating artery. No other vascular anomaly could be found at left putaminal area. Nine days after the ictal attack of SAH, the neck of aneurysm was clipped via the left frontotemporal craniotomy. Because of the ICH at the left frontal lobe and intraventricular hematoma on postoperative CT, we performed hematoma removal and external ventricular drainage 3 hours after the first operation. Postoperative neurological status had been improved to be drowsy and he was discharged in a severely disabled state 4 weeks after surgery. We suggest that the rupture of aneurysm possibly caused a rapid increase in blood pressure and subsequently resulted in hypertensive ICH.
Authors:
Jung Kil Lee; Je Hyuk Lee; In Young Kim; Tae Sun Kim; Shin Jung; Jae Hyoo Kim; Soo Han Kim; Sam Suk Kang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of Korean medical science     Volume:  17     ISSN:  1011-8934     ISO Abbreviation:  J. Korean Med. Sci.     Publication Date:  2002 Feb 
Date Detail:
Created Date:  2002-02-18     Completed Date:  2002-07-12     Revised Date:  2011-03-16    
Medline Journal Info:
Nlm Unique ID:  8703518     Medline TA:  J Korean Med Sci     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  144-6     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Chonnam National University Hospital & Medical School, 8 Hak-dong, Dong-gu, Kwangju 701-757, Korea. jklee@cnuh.chonnam.ac.kr
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MeSH Terms
Descriptor/Qualifier:
Aged
Aneurysm, Ruptured / complications*,  radiography,  surgery
Carotid Arteries / radiography
Humans
Intracranial Hemorrhage, Hypertensive / complications*,  radiography,  surgery
Male
Putaminal Hemorrhage / complications*,  radiography,  surgery
Subarachnoid Hemorrhage / etiology*,  radiography,  surgery
Tomography, X-Ray Computed

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

Full Text
Journal Information
Journal ID (nlm-ta): J Korean Med Sci
Journal ID (pmc): jkms
ISSN: 1011-8934
ISSN: 1598-6357
Publisher: Korean Academy of Medical Sciences
Article Information
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Print publication date: Month: 2 Year: 2002
Volume: 17 Issue: 1
First Page: 144 Last Page: 146
ID: 3054819
PubMed Id: 11850607
Publisher Item Identifier: 200202144

Simultaneous occurrence of subarachnoid hemorrhage due to ruptured aneurysm and remote hypertensive intracerebral hemorrhage: case report.
Jung Kil Lee Email: jklee@cnuh.chonnam.ac.kr
Je Hyuk Lee
In Young Kim
Tae Sun Kim
Shin Jung
Jae Hyoo Kim
Soo Han Kim
Sam Suk Kang
Department of Neurosurgery, Chonnam National University Hospital & Medical School, 8 Hak-dong, Dong-gu, Kwangju 701-757, Korea.


Article Categories:
  • Research Article


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