지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Subdural hematoma (SDH) due to spontaneous rupture of intracranial aneurysm rarely occurs. The prevalence of subarachnoid hemorrhage (SAH) with SDH is approximately 0.5%-10.3% of all aneurysmal SAH. We report a case of aneurysmal rupture with SDH and SAH due to arachnoid defect after aneurysm clipping. The decedent was a 51-year-old woman who underwent brain surgery for SAH a few years ago. Two days before she died, she had nausea and sentinel headache. She was alive in the morning and was found dead at 6 PM. Injuries in the external surface were not found. A fresh SDH, measured approximately 90 mL, was found in the right hemisphere. SAH was diffusely distributed at the base of the brain and the right sylvian fissure. Two aneurysmal clippings were found in the anterior communicating artery and right internal carotid artery. A ruptured de novo aneurysm was also found in the right proximal middle cerebral artery. An uncal herniation was also observed. The cause of death was SAH with SDH due to de novo intracranial aneurysm. The tearing caused by the adhesion between the aneurysm and arachnoid, high blood pressure, and massive bleeding has been thought to be the causative mechanism of aneurysmal SAH with SDH. However, in this case, the arachnoid defect was caused by aneurysmal clipping through pterional approach. This defect served as the passage between the subarachnoid and subdural spaces. The autopsy for recurrent intracranial aneurysm will increase according to the extending life expectancy of patients after aneurysmal clipping.
목차
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참고문헌 (9)
참고문헌 신청
Schuss P / 2013 / Aneurysm-related subarachnoid hemorrhage and acute subdural hematoma: single-center series and systematic review / J Neurosurg 118:984~990
Feng Z / 2016 / Subdural hematoma caused by rupture of a posterior cerebral artery aneurysm / Neurosciences (Riyadh) 21:161~163
Marbacher S / 2010 / Acute subdural hematoma from ruptured cerebral aneurysm / Acta Neurochir (Wien) 152:501~507
한진솔 / 2016 / Subdural Hematoma without Subarachnoid Hemorrhage Caused by the Rupture of Middle Cerebral Artery Aneurysm / Journal of Cerebrovascular and Endovascular Neurosurgery 18(3):315~321
Song TW / 2016 / Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report / Springerplus 5:73
Feng Z / 2016 / Subdural hematoma caused by rupture of a posterior cerebral artery aneurysm / Neurosciences (Riyadh) 21:161~163
Marbacher S / 2010 / Acute subdural hematoma from ruptured cerebral aneurysm / Acta Neurochir (Wien) 152:501~507
한진솔 / 2016 / Subdural Hematoma without Subarachnoid Hemorrhage Caused by the Rupture of Middle Cerebral Artery Aneurysm / Journal of Cerebrovascular and Endovascular Neurosurgery 18(3):315~321
Song TW / 2016 / Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report / Springerplus 5:73
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