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A Case of Ruptured Middle Cerebral Artery Aneurysm with Acute Subdural Hematoma after Clipping of the Aneurysm Nine Years Previously Fujio SHINMURA 1 , Satoshi NAKAJIMA 1 , Toshibumi MARUYAMA 1 , Sachirou AZUMA 1 1Department of Neurosurgery, Tokyo Metropolitan Otsuka Municipal Hospital Keyword: Middle cerebral artery aneurysm , Regrowth and rebleeding , Acute subdural hematoma pp.1175-1179
Published Date 1989/12/10
DOI https://doi.org/10.11477/mf.1436202935
  • Abstract
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It is known well that acute subdural hematoma de-velops most frequently after head injury, and secondly from pathological lesions such as intracranial rupturedaneurysm or AVM.

A case of ruptured middle cerebral artery aneurysm which was clipped nine years before resulting in acute subdural hematoma is reported.

At 6 pm on July 21, 1988, a 53-year-old woman with severe headache starting at 4:20 pm was transfered to our hospital. She suffered from herniated signs; Conscious disturbance; anisocoria; positive OCR; decebrate posture.

An emergency CT showed right acute subdural hematoma with severe midline shift.


Copyright © 1989, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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