Document Detail

Uncommon presentation of ruptured intracranial aneurysm during surgical evacuation of chronic subdural hematoma: case report.
MedLine Citation:
PMID:  17586010     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: There are many factors that predispose an aneurysm to rupture, but there are few real, demonstrable causes that lead to rupture of the aneurysmal sac with a precise cause-effect mechanism. CASE DESCRIPTION: We report a 74-year-old male patient with chronic subdural hematoma after head trauma, who underwent surgery for evacuation of the hematoma. During surgery, there was sudden copious loss of blood from the drainage tubes that were positioned subdurally. Immediate cerebral computed tomography scan and angiography revealed a subarachnoid hemorrhage at the level of the basal cisterns from a ruptured basilar apex aneurysm. We discuss the cause-effect relationship between the surgery with its positioning of subdural drains and the rupture of a previously unrecognized cerebral aneurysm. CONCLUSIONS: The rupture of an unknown, previous "unruptured" aneurysm after craniotomy with subdural positioning of drainage, must be considered a possible complication.
Roberto Stefini; Fabio Ghitti; Riccardo Bergomi; Emanuela Catenacci; Nicola Latronico; Pietro Mortini
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-06-21
Journal Detail:
Title:  Surgical neurology     Volume:  69     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-12-06     Completed Date:  2008-02-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  89-92; discussion 92     Citation Subset:  IM    
Department of Neurosurgery, University of Brescia, 25100 Brescia, Italy.
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MeSH Terms
Aneurysm, Ruptured / diagnosis*,  etiology*,  surgery
Brain Injuries / complications
Drainage / adverse effects*
Hematoma, Subdural, Chronic / diagnosis,  etiology,  surgery*
Intracranial Aneurysm / complications,  diagnosis*,  surgery
Intraoperative Complications

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