Bilateral Acute Subdural Hematomas With Intracerebral Hemorrhage Without Subarachnoid Hemorrhage, Caused by Rupture of an Internal Carotid Artery Dorsal Wall Aneurysm : Case Report
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概要
- 論文の詳細を見る
A 45-year-old man presented with bilateral acute subdural hematomas (ASDHs) without subarachnoid hemorrhage (SAH). He was found comatose in a parked car. Computed tomography showed left frontal intracerebral hemorrhage (ICH) and bilateral ASDHs but no signs of SAH. Magnetic resonance angiography demonstrated an internal carotid artery dorsal wall aneurysm. Emergent surgical intervention was performed. However, he died of cerebral herniation 6 days later. We inferred that massive intracranial bleeding might have ruptured through the cortex and lacerated the arachnoid membrane. Aneurysm rupture generally results in unilateral SDH, whereas trauma is the usual cause of bilateral ASDHs with ICH. Our case suggests that ruptured aneurysm should be considered in patients with non-traumatic bilateral ASDHs without SAH.
- 社団法人 日本脳神経外科学会の論文
- 2009-04-15
著者
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Ueba Tetsuya
Department Of Neurosurgery Kishiwada City Hospital
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NISHIKAWA Tomofumi
Department of Neurosurgery, Kyoto University Hospital
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Yamashita Kohsuke
Department Of Neurosurgery Faculty Of Medicine Kyoto University
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KAJIWARA Motohiro
Department of Neurosurgery, Kishiwada City Hospital
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Kajiwara Motohiro
Department Of Neurosurgery Kishiwada City Hospital
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Nishikawa Tomofumi
Department Of Neurosurgery Kishiwada City Hospital
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