Document Detail

Subarachnoid hemorrhage associated with von Willebrand's disease--case report.
MedLine Citation:
PMID:  16377951     Owner:  NLM     Status:  MEDLINE    
A 59-year-old woman with type IIA von Willebrand's disease (VWD) presented with subarachnoid hemorrhage (SAH). Computed tomography showed SAH in the right sylvian fissure and intracranial hemorrhage in the right temporal lobe. Angiography demonstrated an aneurysm at the bifurcation of the right middle cerebral artery. Neck clipping was performed on the 3rd day after the onset with intra- and postoperative administration of factor VIII/von Willebrand factor concentrate. No excessive bleeding occurred. Patients with prolonged bleeding time should be screened for VWD before surgery. This is a rare case of VWD presenting with SAH secondary to ruptured intracranial aneurysm. The clinical characteristics and the management of SAH in a patient with VWD are discussed.
Reiko Nakau; Motohiro Nomura; Shinya Kida; Junkoh Yamashita; Akira Kinoshita; Hisashi Nitta; Naoki Muramatsu
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  45     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-12-26     Completed Date:  2006-02-28     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  631-4     Citation Subset:  IM    
Department of Neurosurgery, Kanazawa University School of Medicine, Ishikawa.
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MeSH Terms
Aneurysm, Ruptured / complications*
Intracranial Aneurysm / complications*
Middle Aged
Subarachnoid Hemorrhage / etiology*
von Willebrand Diseases / complications*

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