Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
권호 표지

Concurrent Hypertensive Intracerebral Hemorrhage and Rupture of a Previously Clipped Intracranial Aneurysm

  • Cho, Won-Sang (Department of Neurosurgery, Kangwon National University Hospital) ;
  • Kang, Hyun-Seung (Department of Neurosurgery, Seoul National University College of Medicine) ;
  • Kwon, Hyon-Jo (Department of Neurosurgery, Chungnam National University College of Medicine) ;
  • Kwon, Bae-Ju (Department of Radiology, Seoul National University College of Medicine) ;
  • Han, Moon-Hee (Department of Neurosurgery, Seoul National University College of Medicine) ;
  • Kim, Jeong-Eun (Department of Neurosurgery, Seoul National University College of Medicine)
  • Published : 2010.03.30
⟨ Previous Next ⟩

Abstract

Simultaneous occurrence of remote intracerebral hemorrhage (ICH) and intracranial aneurysmal subarachnoid hemorrhage is very rare. We report on a case of concurrent hypertensive ICH at the left thalamus and rupture of an intracranial aneurysm at the bifurcation of the single A2 segment of the anterior cerebral artery in a 64-year-old woman, which was clipped previously, with review of the literature. To our knowledge, this is the first case report demonstrating bleeding of previously clipped aneurysm with simultaneous hypertensive ICH. Hypertensive crisis following ICH seems to have provoked rupture of the residual aneurysm.

Keywords

References

  1. Broderick JP, Brott T, Tomsick T, Miller R, Huster G. Intracerebral hemorrhage more than twice as common as subarachnoid hemorrhage. J Neurosurg 78:188-91, 1993 https://doi.org/10.3171/jns.1993.78.2.0188
  2. Deshmukh VR, Kakarla UK, Figueiredo EG, Zabramski JM, Spetzler RF. Long-term clinical and angiographic follow-up of unclippable wrapped intracranial aneurysms. Neurosurgery 58:434-42, 2006
  3. Feigin VL, Lawes CM, Bennett DA, Anderson CS. Stroke epidemiology: a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. Lancet Neurol 2:43-53, 2003 https://doi.org/10.1016/S1474-4422(03)00266-7
  4. Fukamachi A, Koizumi H, Nukui H. Postoperative intracerebral hemorrhages: a survey of computed tomographic findings after 1074 intracranial operations. Surg Neurol 23:575-80, 1985 https://doi.org/10.1016/0090-3019(85)90006-0
  5. Gambhir S, O'Grady G, Koelmeyer T. Clinical lessons and risk factors from 403 fatal cases of subarachnoid haemorrhage. J Clin Neurosci 16:921-4, 2009 https://doi.org/10.1016/j.jocn.2008.10.009
  6. Goto Y, Hojo M, Yamagata S, Kikuta K. Fatal bleeding from arterial dissection after clipping of a ruptured aneurysm. Neurol Med Chir (Tokyo) 43:608-11, 2003 https://doi.org/10.2176/nmc.43.608
  7. Hagihara N, Abe T, Hirohata M, Inoue K, Watanabe M, Tabuchi K. Simultaneous occurrence of subarachnoid hemorrhage due to ruptured aneurysm and remote brainstem hematoma-case report. Neurol Med Chir (Tokyo) 48:64-7, 2008 https://doi.org/10.2176/nmc.48.64
  8. Kalfas IH, Little JR. Postoperative hemorrhage: a survey of 4992 intracranial procedures. Neurosurgery 23:343-7, 1988 https://doi.org/10.1227/00006123-198809000-00010
  9. Krex D, Schackert HK, Schackert G. Genesis of cerebral aneurysm-an update. Acta Neurochir (Wien) 143:429-48, 2001 https://doi.org/10.1007/s007010170072
  10. Lee GY, Lim SM, Kim Y. Hypertensive intracerebral hematoma after aneurysmal subarachnoid hemorrhage. J Clin Neurosci 14:1233-5, 2007 https://doi.org/10.1016/j.jocn.2006.07.010
  11. Lee JK, Lee JH, Kim IY, Kim TS, Jung S, Kim JH, et al. Simultaneous occurrence of subarachnoid hemorrhage due to ruptured aneurysm and remote hypertensive intracerebral hemorrhage: case report. J Korean Med Sci 17:144-6, 2002 https://doi.org/10.3346/jkms.2002.17.1.144
  12. The Korean Neurological Association. Epidemiology of cerebrovascular disease in Korea: a collaborative study, 1989- 1990. J Korean Med Sci 8:281-9, 1993
  13. Pasqualin A, Bazzan A, Cavazzani P, Scienza R, Licata C, Da Pian R. Intracranial hematomas following aneurysmal rupture: experience with 309 cases. Surg Neurol 25:6-17, 1986 https://doi.org/10.1016/0090-3019(86)90107-2
  14. Paus C, Daniel RT, Regli L. Posterior temporal haematoma associated with anterior communicating artery aneurysm rupture. J Clin Neurosci 12:182-4, 2005 https://doi.org/10.1016/j.jocn.2004.02.026
  15. Sakata N, Takebayashi S, Kojima M, Masawa N, Suzuki K, Takatama M, et al. Different roles of arteriosclerosis in the rupture of intracranial dissecting aneurysms. Histopathology 38:325-37, 2001 https://doi.org/10.1046/j.1365-2559.2001.01081.x
  16. Song KS, Kim CH, Lee HK, Moon JG. Simultaneous Occurrence of Aneurysmal Subarachnoid Hemorrhage and Hypertensive Intracerebral Hemorrhage. J Korean Neurosurg Soc 38:309-11, 2005
  17. Sugita Y, Yoneda S, Watanabe T, Shigemori M. Simultaneous occurrence of aneurysmal subarachnoid hemorrhage and remote intracerebral hemorrhage-case report. Neurol Med Chir (Tokyo) 35:591-3, 1995 https://doi.org/10.2176/nmc.35.591
  18. Sutherland GR, Auer RN. Primary intracerebral hemorrhage. J Clin Neurosci 13:511-7, 2006 https://doi.org/10.1016/j.jocn.2004.12.012
  19. Tokuda Y, Inagawa T, Katoh Y, Kumano K, Ohbayashi N, Yoshioka H. Intracerebral hematoma in patients with ruptured cerebral aneurysms. Surg Neurol 43:272-7, 1995 https://doi.org/10.1016/0090-3019(95)80013-7
  20. Voldby B. Pathophysiology of subarachnoid haemorrhage. Experimental and clinical data. Acta Neurochir Suppl (Wien) 45:1-6, 1988
  21. Wan WH, Ang BT, Wang E. The Cushing Response: a case for a review of its role as a physiological reflex. J Clin Neurosci 15:223-8, 2008 https://doi.org/10.1016/j.jocn.2007.05.025
  22. Yanaka K, Shirai S, Kimura H, Nose T. Concurrent subarachnoid hemorrhage due to ruptured aneurysm and hypertensive intracerebral hemorrhage-case report. Neurol Med Chir (Tokyo) 34:304-6, 1994 https://doi.org/10.2176/nmc.34.304