Intracerebral hematoma in patients with ruptured cerebral aneurysms

Tokuda, Yuji; Inagawa, Tetsuji; Katoh, Yoshiharu; Kumano, Kiyoshi; Ohbayashi, Naohiko; Yoshioka, Hiroyuki

doi:10.1016/0090-3019(95)80013-7

Cited by 100 publications

(71 citation statements)

References 18 publications

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“…The ruptured aneurysms with accompanying ICH are prone to rebleeding compared with those without ICH [11]. The aneurysmal ICH tends to have a massive mass effect, so it may require early evacuation to save patients.…”

Section: Discussionmentioning

confidence: 99%

“…Although most ruptured aneurysms present only with SAH, they sometimes cause ICH, IVH, subdural hemorrhage, or all three together [11]. The ruptured aneurysms with accompanying ICH are prone to rebleeding compared with those without ICH [11].…”

Section: Discussionmentioning

confidence: 99%

“…The volume of the ICH was measured on the initial computed tomography (CT) according to the following equation: volume (ml)=1/2×longitudinal diameter (cm)× transverse diameter (cm) × number of CT slices with hematoma scanned at 4.5-mm intervals [11].…”

Section: Endovascular Coil Embolization and Ich Drainagementioning

confidence: 99%

“…The most common location of aneurysm accompanying ICH is the middle cerebral artery (MCA) [1,2]. It has been generally accepted that the standard treatment of ruptured aneurysms with ICH should be surgical clipping with simultaneous ICH evacuation, although the mortality rates have been shown to be high with a reported range of 21 to 85% [8][9][10][11]. However, ICHs caused by ruptured anterior communicating artery (AcomA) aneurysms have characteristics different from those caused by ruptured MCA aneurysms; therefore, they are treated with different methods: Ruptured anterior communicating artery (AcomA) aneurysms have less mass effect than MCA aneurysms, and consequently, early and ultra-early evacuation of ICHs often is not necessary.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Treatment of ruptured anterior communicating artery aneurysm accompanying intracerebral hematomas: endovascular coiling followed by hematoma evacuation with burr hole trephination and catheterization

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Endovascular Coil Embolization and Ich Drainagementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Treatment of ruptured anterior communicating artery aneurysm accompanying intracerebral hematomas: endovascular coiling followed by hematoma evacuation with burr hole trephination and catheterization

et al. 2009

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“…1,3,5,6,17,19,29,34) Patients do not always achieve outcomes consistent with their initial neurological status, and 50-60% of patients affected by rupture of an intracranial aneurysm can become functional survivors. 3,[9][10][11][12]14,18,20,22,25,26) However, insufficient surgical intervention may result in loss of potentially salvageable function or life.…”

Section: Introductionmentioning

confidence: 99%

Poor-Grade Ruptured Middle Cerebral Artery Aneurysm With Intracerebral Hematoma: Bleeding Characteristics and Management

Kazumata

Kamiyama

Yokoyama

et al. 2010

Neurol. Med. Chir.(Tokyo)

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Poor-grade ruptured middle cerebral artery aneurysm is frequently associated with intraparenchymal hemorrhage, which is associated with high morbidity rates. We analyzed the clinical presentations and surgical strategies of 23 cases of ruptured middle cerebral artery aneurysm. Hematomas were divided into three types: temporal hematoma (7 patients), sylvian hematoma (10 patients), and frontal hematoma (6 patients). In 13 of 23 patients, preoperative brainstem symptoms suggested impeding uncal herniation. Surgical procedures included external decompression in 11 patients, simple lateral temporal lobectomy in 5, and selective uncectomy in 9. Three patients died. Favorable outcome defined as upper half of severely disabled or better in the extended Glasgow Outcome Scale was achieved in 13 patients. Patients with frontal hematomas presented with both uncal herniation and brainstem signs preoperatively, but this subgroup showed unexpectedly good recovery. Patients with sylvian hematomas had relatively poor outcomes. The present series suggests that aggressive decompression and evacuation of hematoma in the acute stage may prevent significant postoperative brain swelling, and will not compromise the treatment of vasospasm.

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Is it a Vascular Event and Where is the Lesion?: Identifying and Interpreting the Symptoms and Signs of Cerebrovascular Disease

Warlow¹,

Gijn²,

Dennis³

et al. 2008

Stroke

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Intracerebral hematoma in patients with ruptured cerebral aneurysms

Cited by 100 publications

References 18 publications

Treatment of ruptured anterior communicating artery aneurysm accompanying intracerebral hematomas: endovascular coiling followed by hematoma evacuation with burr hole trephination and catheterization

Treatment of ruptured anterior communicating artery aneurysm accompanying intracerebral hematomas: endovascular coiling followed by hematoma evacuation with burr hole trephination and catheterization

Poor-Grade Ruptured Middle Cerebral Artery Aneurysm With Intracerebral Hematoma: Bleeding Characteristics and Management

Is it a Vascular Event and Where is the Lesion?: Identifying and Interpreting the Symptoms and Signs of Cerebrovascular Disease

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