Document Detail

Thrombosed unruptured cerebral aneurysm causing brain infarction followed by subarachnoid hemorrhage--case report--.
MedLine Citation:
PMID:  16195648     Owner:  NLM     Status:  MEDLINE    
A 71-year-old man presented with right hemiparesis and aphasia due to cerebral infarction in the frontal lobe. Computed tomography (CT) revealed a high-density mass, 12 mm in diameter, in the stem of the left sylvian fissure. Carotid angiography demonstrated occlusion of the left ascending frontal artery complex and retention of contrast medium at the bifurcation of the left middle cerebral artery (MCA). The diagnosis was cerebral infarction caused by occlusion of the ascending frontal artery complex resulting from thrombosed left MCA aneurysm. The patient was managed conservatively and his neurological symptoms gradually improved. One month later, he lapsed into a coma. CT revealed subarachnoid hemorrhage. Carotid angiography showed a large left MCA aneurysm with branch occlusion of the left ascending frontal artery complex. A left frontotemporal craniotomy was performed. The MCA aneurysm was opened and the intramural thrombi removed, and finally neck clipping was performed. The patient made a good postoperative recovery.
Masayasu Kato; Yasuhiko Kaku; Ayumi Okumura; Toru Iwama; Noboru Sakai
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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 Sep 
Date Detail:
Created Date:  2005-09-30     Completed Date:  2005-10-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  472-5     Citation Subset:  IM    
Department of Neurosurgery, Gifu University Graduate School of Medicine, Gifu, Japan.
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MeSH Terms
Brain Infarction / etiology*
Cerebral Angiography
Intracranial Aneurysm / complications*,  diagnosis,  surgery
Magnetic Resonance Imaging
Subarachnoid Hemorrhage / etiology*
Thrombosis / complications*,  surgery
Tomography, X-Ray Computed

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