- 期刊
- OpenAccess
Ruptured Intracranial Aneurysm Presenting as a Significant Intracerebral Hematoma without Visible Subarachnoid Hemorrhage on Computed Tomography: A Case Report
顱內動脈瘤破裂在電腦斷層上以顯著的腦血腫表現而無蜘蛛膜下腔血腫：病例報告
摘要
顱內動脈瘤破裂已知可以以蜘蛛膜下腔血腫合併腦內血腫表現。單純以腦內血腫表現而沒有蜘蛛膜下腔血腫則很少見。在此病例報告中，我們提出一個57歲女性，其動脈瘤破裂在電腦斷層上以顯著的腦內血腫表現，而沒有蜘蛛膜下腔血腫。文中將描述此病人的影像學表現並作相關文獻的回顧。
關鍵字
無資料並列摘要
Although intracerebral hemorrhage (lCH) secondary to intracranial aneurysm rupture has been documented to occur in approximately 4% to 42.6% of patients, ICH without subarachnoid hemorrhage (SAH) is rare. The condition is mainly associated with rupture of a middle cerebral artery aneurysm. We report the case of a 57-year-old woman with significant intracerebral hematoma without visible SAH on computed tomography (CT). CT angiography (CTA) of the brain subsequently revealed an aneurysm arising from the supraclinoid portion of the left internal carotid artery near the origin of the left posterior communicating artery, which was considered to result in ICH. Aneurysm rupture should be included in the list of differential diagnoses when ICH is encountered at an atypical site of hypertensive hemorrhage, even in patients without SAH.
並列關鍵字
無資料延伸閱讀
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