Interhemispheric subdural hematoma caused by a ruptured internal carotid artery aneurysm: Case report

Ishikawa, Eiichi; Sugimoto, Koichi; Yanaka, Kiyoyuki; Ayuzawa, Satoshi; Iguchi, Masahide; Moritake, Takashi; Kobayashi, Eiki; Nose, Tadao

doi:10.1016/s0090-3019(00)00262-7

Cited by 33 publications

(29 citation statements)

References 13 publications

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“…A segunda relata que o fluxo de sangue pode romper-se através da membrana aracnóide em algum ponto distante mais frágil da mesma. Por último, o hematoma subdural pode desenvolver-se secundário à descompressão de um hematoma intracerebral no espaço subdural seguindo com a obstrução da membrana aracnóide que recobre o córtex cerebral 8,11 .…”

Section: Discussionunclassified

A Importância do Conhecimento das Patologias Neurocirúrgicas na Perícia Médico Legal

Alberto¹,

Navarro²

2017

BJFS

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Resumo.A perícia médico legal tem a função de estabelecer a forma e a causa da morte.Baseado nesses dados, a justiça atua condenando os culpados pelos crimes. O objetivo deste trabalho é descrever uma patologia frequentemente encontrada no instituto médico legal, o hematoma subdural agudo, e com isso debater suas causas raras, não traumáticas.Realizou-se uma pesquisa na literatura nacional e internacional utilizando o banco de dados MEDLINE, sendo selecionados 11 artigos sobre o assunto, publicados nos últimos 16 anos.O exame pericial na Medicina Legal deve ser muito criterioso para evitar conclusões indevidas pela justiça.Palavras-chave: Necropsia forense; Hematoma subdural; Hematoma subdural espontâneo; Hematoma subdural agudo não traumático; Aneurisma cerebral. Abstract.Legal medical expertise has the function to establish the form and the cause of death. Based on these data, justice acts condemning the perpetrators of the crimes. The objective of this study is describe a condition often found in the Legal Medical Institute, the acute subdural hematoma, thus discuss their rare causes, not traumatic. The methodology carried out a search in national and international literature using the database MEDLINE, being selected 11 articles on the subject published in the last 16 years. The expert examination in Legal Medicine must be very careful to avoid undue conclusions by justice.

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Section: Discussionunclassified

A Importância do Conhecimento das Patologias Neurocirúrgicas na Perícia Médico Legal

Alberto¹,

Navarro²

2017

BJFS

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“…1,[4][5][6][7][8][9][10][11][12][13][14][15][16][17]19,[21][22][23][24][25][26]28,29) The most frequent site of aneurysm was the origin of the posterior communicating artery from the internal carotid artery (ICA-PcomA) in 15 cases, 1,4,5,7,9,10,11,15,19,22,25,29) and the anterior communicating artery (AcomA) in 4 cases, including the present case. 13,16,23) The most frequent location of the hematoma was the convexity, 1,[4][5][6]9,14,[21][22][23][24][25]…”

Section: Discussionmentioning

confidence: 99%

“…1,5,[7][8][9][10][11][12][13][14][15][16][17]19,[22][23][24][25][26]28,29) Aneurysm clipping and hematoma evacuation were performed in 17 cases, 1,8,10,12,15,16,19,22,24-26, 28,29) and only clipping in 4 cases, including the present case. 7,11,13) Outcome was good in 17 patients, 1,5,7,8,[10][11][12][13][14][15][16]19,24,25) but poor in 10 patients, with 5 disabled and 5 dead patients. 4,8,9,15,[21][22][23]26,28,29) The aneurysms in the poor prognosis group originated from the ICA-PcomA in 5 cases, the MCA in 2 cases, the distal anterior cerebral artery (AC...…”

Section: Discussionmentioning

confidence: 99%

“…Several mechanisms have been proposed to explain the occurrence of ASDH associated with aneurysm rupture, but little definite evidence of such mechanisms is known. 10,11,13,14,16) We present a very rare case of spontaneous ASDH without evidence of SAH or ICH caused by a ruptured A1-A2 junction aneurysm, manifesting as repeated acute headaches, and describe the radiographical and intraoperative findings that clarify the underlying mechanism.…”

Section: Introductionmentioning

confidence: 97%

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Acute Subdural Hematoma Without Subarachnoid Hemorrhage Caused by Ruptured A1-A2 Junction Aneurysm

Takada

Yamamoto

Ishikawa

et al. 2012

Neurol. Med. Chir.(Tokyo)

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A 54-year-old man was admitted to our hospital with complaint of sudden headache. The patient had suffered two episodes of transient headache before admission. Computed tomography (CT) revealed acute subdural hematoma (ASDH) on the right side of the cerebral convexity with bilateral extension along the tentorium cerebelli without signs of subarachnoid hemorrhage (SAH) or intracerebral hemorrhage (ICH). Three-dimensional CT angiography and conventional cerebral angiography revealed a left A1-A2 junction aneurysm. Neck clipping of the aneurysm was performed. The aneurysm extended inferiorly, with the dome embedded in the chiasmatic cistern and tightly adhered to the arachnoid membrane. There was no evidence of hematoma in the subarachnoid space. The patient was discharged without neurological deficit. Ruptured aneurysms resulting in ASDH without SAH or ICH are very rare. Radiological investigation such as three-dimensional CT angiography should be performed to find the causative aneurysm in a patient with ASDH with a history of repeated headaches and without traumatic signs or episodes, and the appropriate treatment should be planned with expediency.

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“…Two patients (Cases 15, 17) had a history of cerebral infarction. On admission, the mean GCS score was 7.0 (range, [3][4][5][6][7][8][9][10][11][12][13][14][15], the WFNS grade was grade V Societies (WFNS) grade; 3) location of the ruptured aneurysm; 4) existence of the intracerebral hematoma (ICH), intraventricular hematoma (IVH), midline shifting (≥5 mm) 13,25) , and thickness of subdural hematoma, Fisher grade of the SAH; 5) the methods of treatment received; and 6) outcome evaluated by the Glasgow Outcome Scale. To assess statistical significance, frequencies were evaluated with the chi-square test (SPSS for windows version 13.0 : SPSS INC., Chicago, IL).…”

Section: Introductionmentioning

confidence: 99%

Clinical Features of Acute Subdural Hematomas Caused by Ruptured Intracranial Aneurysms

Kwon

Park

et al. 2011

J Korean Neurosurg Soc

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6lected single-center experiences are extremely rare. The objective of this report was to review and discuss the clinical aspects of our single-center experience with 23 cases of SAH associated with an aSDH originating from a ruptured intracranial aneurysm. MATERIALS AND METHODSAll patients with ruptured intracranial aneurysms who were admitted to our department between January 2005 and December 2010 were identified. The medical records and films of the patients were retrospectively reviewed. We selected cases of aSDH secondary to a ruptured intracranial aneurysm. The criteria for selection were; 1) no history of head trauma, 2) radiologist-confirmed definitive subdural hematoma on initial computed tomography (CT) imaging, 3) CT angiography or digital subtraction angiography (DSA) demonstrating an intracranial aneurysm, and 4) a visible subdural hematoma with evidence of a ruptured aneurysm by operative report. The following information was collected and assessed : 1) patient demographic data; 2) clinical status on admission according to the Glasgow Coma Scale (GCS) and the World Federation of Neurosurgical INTRODUCTIONSubarachnoid hemorrhage (SAH) caused by a ruptured intracranial aneurysm is a devastating disease with high mortality and morbidity 7) . SAH associated with acute subdural hematoma (aSDH) originating from ruptured intracranial aneurysms is rare and carries a poor prognosis 8,15,20,24) . The majority of posttraumatic aSDH result from vascular injury in the brain cortex. Because of rapid clinical deterioration, early decompression is mandatory, but the prognosis remains poor in many cases. Previous investigators have reported small case series of spontaneous aSDH caused by an aneurysmal rupture 2,12,20,24) . The majority of these series reported poor clinical grades and suggested the use of various detecting modalities and treatment plans 5,8,11,15,18) . However, these cases were not numerous and consistently col-J Korean Neurosurg Soc 50 : 6-10, 2011 10.3340/jkns.2011.50.1.6 Copyright © 2011 The Korean Neurosurgical Society

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Interhemispheric subdural hematoma caused by a ruptured internal carotid artery aneurysm: Case report

Cited by 33 publications

References 13 publications

A Importância do Conhecimento das Patologias Neurocirúrgicas na Perícia Médico Legal

A Importância do Conhecimento das Patologias Neurocirúrgicas na Perícia Médico Legal

Acute Subdural Hematoma Without Subarachnoid Hemorrhage Caused by Ruptured A1-A2 Junction Aneurysm

Clinical Features of Acute Subdural Hematomas Caused by Ruptured Intracranial Aneurysms

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