Lethal ultra-early subarachnoid hemorrhage due to rupture of de novo aneurysm 5 months after primary aneurysmatic subarachnoid hemorrhage
BACKGROUND: Approximately 1% of all patients surviving rupture of a cerebral aneurysm suffer from a second aneurysmatic subarachnoid hemorrhage later in their lives, 61% of which are caused by rupture of a de novo aneurysm. Latency between bleedings is usually many years, and younger patients tend t...
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| Main Authors: | , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2018
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| In: |
World neurosurgery
Year: 2018, Volume: 113, Pages: 316-319 |
| ISSN: | 1878-8769 |
| DOI: | 10.1016/j.wneu.2018.02.093 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.1016/j.wneu.2018.02.093
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| Author Notes: | Johannes Walter, Andreas W. Unterberg, Klaus Zweckberger |
| Summary: | BACKGROUND: Approximately 1% of all patients surviving rupture of a cerebral aneurysm suffer from a second aneurysmatic subarachnoid hemorrhage later in their lives, 61% of which are caused by rupture of a de novo aneurysm. Latency between bleedings is usually many years, and younger patients tend to achieve better outcomes from a second subarachnoid hemorrhage. - CASE DESCRIPTION: We report an unusual case of lethal ultra-early rupture of a de novo aneurysm of the anterior communicating artery only 5 months after the initial subarachnoid hemorrhage and complete coiling in a young, healthy male patient. - CONCLUSION: Despite complete aneurysm obliteration, young age, and good recovery, patients may be subjected to secondary subarachnoid hemorrhages from de novo aneurysms after only a few months of the initial bleeding. Early-control magnetic resonance angiography might hence be advisable. |
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| Item Description: | Gesehen am 29.04.2019 |
| Physical Description: | Online Resource |
| ISSN: | 1878-8769 |
| DOI: | 10.1016/j.wneu.2018.02.093 |