| The relationship of blunt head trauma, subarachnoid hemorrhage, and rupture of pre-existing intracranial saccular aneurysms. | |
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MedLine Citation:
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PMID: 10763504 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patients with a history of closed head trauma and subarachnoid hemorrhage are uncommonly diagnosed with an intracranial saccular aneurysm. This study presents a group of patients in whom a pre-existing aneurysm was discovered during work-up for traumatic subarachnoid hemorrhage. Without an accurate pre-trauma clinical history, it is difficult to define the relationship between trauma and the rupture of a pre-existing intracranial saccular aneurysm. We retrospectively reviewed 130 patients who presented to Detroit Receiving Hospital between 1993 and 1997 with a diagnosis of subarachnoid hemorrhage (SAH). Of these 130 patients, 70 were spontaneous, and 60 had a history of trauma. Mechanisms of trauma include motor vehicle accident, assault, or fall from a height. Of the 60 patients with subarachnoid hemorrhage and a history of trauma, 51 (86%) did not undergo conventional four-vessel angiography, and had no further neurological sequelae. Nine patients (14%) had a suspicious quantity of blood within the basal cisterns or Sylvian fissure and had a four-vessel angiogram. Five patients (8%) were diagnosed with a saccular intracranial aneurysm, and all underwent surgical clipping of the aneurysm. We conclude that the majority of patients (92%), with post-traumatic SAH do not harbor intracranial aneurysms. However, during initial evaluation, a high level of suspicion must be entertained when post-traumatic subarachnoid hemorrhage is encountered in the basal cisterns or Sylvian fissure, as 8% of our population were diagnosed with aneurysms. |
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Authors:
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T J Cummings; R R Johnson; F G Diaz; D B Michael |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurological research Volume: 22 ISSN: 0161-6412 ISO Abbreviation: Neurol. Res. Publication Date: 2000 Mar |
Date Detail:
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Created Date: 2000-06-07 Completed Date: 2000-06-07 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7905298 Medline TA: Neurol Res Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 165-70 Citation Subset: IM |
Affiliation:
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Department of Neurological Surgery, Wayne State University School of Medicine, Detroit, Michigan, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aneurysm, Ruptured / complications*, radiography, surgery Cerebral Angiography Craniocerebral Trauma / complications* Craniotomy Female Humans Intracranial Aneurysm / complications*, radiography, surgery Male Middle Aged Subarachnoid Hemorrhage / etiology*, radiography Tomography, X-Ray Computed Wounds, Nonpenetrating / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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