Delayed rupture of pre-existing cerebral aneurysm in a young patient with minor head trauma

J Clin Neurosci. 2007 Nov;14(11):1120-2. doi: 10.1016/j.jocn.2006.03.014.

Abstract

An intracranial saccular aneurysm is not commonly diagnosed in a patient with head injury. We present a patient with a history of minor head trauma and a CT scan of the brain revealing minimal subarachnoid hemorrhage 17 days prior to admission, complaining of severe headache, dysarthria and focal right limb seizures 3 hours prior to admission. A traumatic aneurysm was suspected based on clinical history and radiological findings including hematoma in the falx region on a CT scan of the brain and an aneurysm of the pericallosal artery on magnetic resonance angiography and four-vessel cerebral angiography. However, at craniotomy, an intracranial non-traumatic saccular aneurysm at the bifurcation of the pericallosal artery was found. The patient recovered fully after successful clipping the aneurysm.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aneurysm, Ruptured / diagnostic imaging*
  • Aneurysm, Ruptured / surgery
  • Cerebral Angiography
  • Craniocerebral Trauma / diagnostic imaging*
  • Humans
  • Intracranial Aneurysm / diagnostic imaging*
  • Intracranial Aneurysm / surgery
  • Male
  • Subarachnoid Hemorrhage / diagnostic imaging
  • Subarachnoid Hemorrhage / surgery
  • Time Factors
  • Tomography, X-Ray Computed