ABSTRACT
We report on two patients with intra-operative rupture of cerebral aneurysms that were managed by microsuturing. This is one of only a few reports of successful direct repair using suturing. We found that stitching remains an option to repair a tear of a saccular part of an aneurysm and a torn neck of a blister-like aneurysm, and thus this technique can be considered before sacrificing the artery.
Subject(s)
Aneurysm, Ruptured/pathology , Carotid Artery, Internal/surgery , Intracranial Aneurysm/pathology , Microsurgery/methods , Neurosurgical Procedures/methods , Adolescent , Aneurysm, Ruptured/complications , Aneurysm, Ruptured/surgery , Angiography/methods , Female , Humans , Intracranial Aneurysm/complications , Intracranial Aneurysm/surgery , Middle AgedABSTRACT
A 27-year-old patient presented with severe headache and seizures about a month after the initial head trauma. Computed tomography (CT) brain scan revealed acute subdural bleed continuous into the interhemispheric region, with no subarachnoid haemorrhage. This was due to rupture of a traumatic pericallosal artery aneurysm. This represents a rare case of traumatic pericallosal artery aneurysm presenting with subdural haematoma without subarachnoid haemorrhage.
