Huge Intramural Hematoma in a Thrombosed Middle Cerebral Artery Aneurysm: A Case Report
Journal of Cerebrovascular and Endovascular Neurosurgery
; : 234-238, 2015.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-58505
Biblioteca responsável:
WPRO
ABSTRACT
We describe a case of a huge intramural hematoma in a thrombosed middle cerebral artery aneurysm. A 47-year-old female patient with liver cirrhosis and thrombocytopenia presented to the neurosurgical unit with a 5-day history of headache and cognitive dysfunction. Magnetic resonance imaging and computed tomography of the brain showed a thrombosed aneurysm located in the right middle cerebral artery with a posteriorly located huge intramural hematoma mimicking an intracerebral hematoma. Imaging studies and cerebrospinal fluid analysis showed no evidence of subarachnoid hemorrhage. Angiography showed a partially thrombosed aneurysm at the origin of the right anterior temporal artery and an incidental aneurysm at the bifurcation of the right middle cerebral artery. Both aneurysms were embolized by coiling. After embolization, the thrombosed aneurysmal sac and intramural hematoma had decreased in size 4 days later and almost completely disappeared 8 months later. This is the first reported case of a nondissecting, nonfusiform aneurysm with a huge intramural hematoma, unlike that of a dissecting aneurysm.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Hemorragia Subaracnóidea
/
Artérias Temporais
/
Trombocitopenia
/
Encéfalo
/
Imageamento por Ressonância Magnética
/
Angiografia
/
Aneurisma Intracraniano
/
Líquido Cefalorraquidiano
/
Artéria Cerebral Média
/
Embolização Terapêutica
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of Cerebrovascular and Endovascular Neurosurgery
Ano de publicação:
2015
Tipo de documento:
Artigo