| 篇名 |
Distal Anterior Cerebral Artery Aneurysm: an Infrequent Cause of Transient Ischemic Attack Followed by Diffuse Subarachnoid Hemorrhage: Report of a Case |
| 作者 |
Che-Chuan Wang, Chung-Ching Chio, Chien-Jen Tseng, Jinn-Rung Kuo |
| 卷期/出版年月 |
43卷5期 (2010/10) |
| 頁次 |
248-252 |
| 摘要 |
We report a 54-year-old female who presented with a wide-based saccular aneurysm
distal to the junction of the right pericallosal and callosomarginal arteries, showing
acute onset of transient ischemia stroke initially, followed by diffuse spontaneous
subarachnoid hemorrhage and supracallosal, intraventricular hemorrhage.
Rotational 3-dimensional digital subtraction angiography clearly indicated the
aneurysm location and shape. Pre-operatively, her Hunt and Hess grading was IV.
Craniotomy with aneurysm trapping was performed in the acute stage. Postoperatively,
her consciousness gradually improved but left hemipsresis remained.
This clinical presentation, to our knowledge, has not been previously reported. We
would like to emphasize that in patients with transient ischemic attacks presenting
with hemiparesis, the possibility of a distal cerebral arterial aneurysm should be
taken into consideration for prompt and appropriate management. |
| 關鍵詞 |
ischemic stroke, diffuse subarachnoid hemorrhage, cerebral aneurysm |
| 分類 |
Case Report |
