Ruptured Traumatic Aneurysm After Trivial Injury Mimicking Acute Spontaneous Subdural Hematoma
スポンサーリンク
概要
- 論文の詳細を見る
A 75-year-old man suffered acute subdural hematoma shortly after trivial head trauma. Thirteen hours after a trivial brow to the occipital region, caused by contact with a mat, he suddenly deteriorated to the level of a Glasgow Coma Scale score of 6. Computed tomography demonstrated an acute subdural hematoma on the left and angiography revealed an aneurysm of the distal middle cerebral artery. An emergent craniotomy disclosed no skull fracture and exposed a thick subdural hematoma with no brain contusions. After evacuation of the hematoma, an aneurysm was found on the distal portion of posterior temporal artery, which was compatible with the angiographical findings. The neck of aneurysm was so fragile that neck clipping could not be successfully performed. Therefore, the aneurysm was extirpated, and the bleeding site coagulated with oxidized cellulose reinforcement. Histological examination of the aneurysm indicated a pseudoaneurysm during the early phase of clot formation. The acute subdural hematoma resulted from rupture of this pseudoaneurysm which was formed shortly after the minor head trauma. Rupture of a pseudoaneurysm caused by trivial trauma might be one of the origins for so-called acute "spontaneous" subdural hematoma.
- 日本脳神経外科学会の論文
- 2003-03-15
著者
-
MURAKAMI MAMORU
Department of Anesthesiology and Emergency Medicine, Tohoku University Postgraduate Medical School
-
Hosokawa Youhei
Department Of Pathology Fukui Medical School
-
Hosokawa Youhei
Departments Of Pathology Kyoto First Red Cross Hospital
-
KAKITA Kiyohito
Departments of Neurosurgery, Kyoto First Red Cross Hospital
-
Murakami Mamoru
Departments Of Neurosurgery Kyoto First Red Cross Hospital:(present Address)department Of Neurosurge
-
Murakami Mamoru
Department Of Anesthesiology And Emergency Medicine Tohoku University Postgraduate Medical School
-
Kakita Kiyohito
Department Of Neurosurgery Kyoto First Red Cross Hospital
-
Kakita Kiyohito
Departments Of Neurosurgery Kyoto First Red Cross Hospital
関連論文
- Endovascular Treatment of Vertebral Artery Aneurysm Manifesting as Progressive Hemifacial Spasm
- Power spectral analysis of the electroencephalogram during induced total spinal block
- Transanal Prolapse of a Ventriculoperitoneal Shunt Catheter
- Subdural Extension of Recurrent Olfactory Neuroblastoma : Case Report
- Ruptured Traumatic Aneurysm After Trivial Injury Mimicking Acute Spontaneous Subdural Hematoma
- Stabilities of Maxillary Complete Overdentures With and Without Abutment Tooth Support : Examination by Dynamics of Atmospheric Pressure as an Index of Denture Stability
- Successful Use of Prolonged Mild Hypothermia in a Patient With Severe Head Injury and Diffuse Brain Swelling : Case Report
- Olfactory Groove Schwannoma : Case Report
- Fluorescent Histochemical Study of Acid Phosphatase
- An Attempt at the Combined Cytofluorometric Determination of DNA and Sulfhydryl Groups of Nucleoprotein
- Relationship between medical treatment and oral dryness diagnosed by oral moisture-checking device in patients with maxillofacial prostheses
- Large, Benign Osteoblastoma of the Temporal Bone : Case Report
- A Three-dimensional Analysis Method for Edentulous Mandibular Ridge Shape
- Recurrent Intrasellar Arachnoid Cyst : Case Report
- Escape of Parasympathetic Vasodilatation from Sympathetic Attenuation in Oro-Facial Areas in the Cat
- Clinical Features and Management of Intracranial Hemorrhage in Patients Undergoing Maintenance Dialysis Therapy
- A MODULATING ROLE OF TAURINE ON RELEASE OF ACETYLCHOLINE AND NOREPINEPHRINE FROM NEURONAL TISSUES
- Skull Parosteal Lipoma with Reactive Hyperostosis: A Case Report
- Relationship between symptoms of dryness and moisture levels in patients with maxillofacial prostheses