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Japanese

Simultaneous rupture of multiple intracranial aneurysms:a case report Hideo TSURUSHIMA 1 , Kotoo MEGURO 1 , Kiyoshi NARUSHIMA 1 , Atsuro TSUKADA 2 , Tadao NOSE 3 1Department of Neurosurgery, Medical Center Hospital 2Department of Neurosurgery, Kennan Hospital 3Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba Keyword: simultaneous rupture , multiple aneurysms , subarachnoid hemorrhage , intracerebral hemorrhage pp.385-388
Published Date 1996/4/10
DOI https://doi.org/10.11477/mf.1436901199
  • Abstract
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A rare case of simultaneous rupture of multiple aneurysms is reported. A 68-year-old man presented se-vere headache and vomiting and was transferred to our hospital. CT scan showed subarachnoid hemorrhage (SAH) in the interhemispheric fissure, the right basal cistern, the right sylvian fissure and intracerebral hemorrhage (ICH) in the paraventricle area. Continua-tion of the hemorrhage could not be detected between SAH and ICH on CT scan. Multiple aneurysms were detected by angiograms on the anterior communicating artery (A-com) and the bifurcation and the distal por-tion of the left middle cerebral artery (MCA). These findings suggested that SAH was due to a ruptured aneurysm of A-com, and ICH was due to a ruptured aneurysm of the distal portion of MCA. Simultaneous rupture of multiple aneurysms was confirmed by sur-gical findings. This case indicates that the usual assumption of a single aneurysm rupture in a patient with multiple aneurysms may be erroneous.


Copyright © 1996, 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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