Acute subdural hematoma caused by a ruptured cavernous internal carotid artery giant aneurysm following abducens nerve palsy: case report and review of the literature

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• 作者：Hideaki Shigematsu ; Takatoshi Sorimachi ; Rie Aoki ; Takahiro Osada…
• 关键词：Acute subdural hematoma ; Cavernous sinus syndrome ; Magnetic resonance image ; Oculomotor nerve palsy
• 刊名：Acta Neurochirurgica
• 出版年：2015
• 出版时间：July 2015
• 年：2015
• 卷：157
• 期：7
• 页码：1113-1116
• 全文大小：1,202 KB
• 参考文献：1.Andaluz N, Tomsick TA, Keller JT, Zuccarello M (2006) Subdural hemorrhage in the posterior fossa caused by a ruptured cavernous carotid artery aneurysm after a balloon occlusion test. Case report. J Neurosurg 105:315-19PubMed View Article
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• 作者单位：Hideaki Shigematsu (1)
  Takatoshi Sorimachi (1)
  Rie Aoki (1)
  Takahiro Osada (1)
  Kittipong Srivatanakul (1)
  Mitsunori Matsumae (1)
  
  1. Department of Neurosurgery, Tokai University, 143, Simokasuya, Isehara, Kanagawa, 259-1194, Japan
  
• 刊物主题：Neurosurgery; Interventional Radiology; Neuroradiology; Neurology; Surgical Orthopedics; Minimally Invasive Surgery;
• 出版者：Springer Vienna
• ISSN：0942-0940

文摘

The authors report a 61-year-old female patient with a giant cavernous aneurysm in the right internal carotid artery (ICA) leading to acute subdural hematoma (ASDH) 7?days after the occurrence of abducens nerve palsy. She underwent ICA occlusion associated with high-flow bypass. In all five reported patients with a cavernous ICA aneurysm causing ASDH, the size of the aneurysm was giant and cranial nerve signs preceded the rupture. When a patient with a symptomatic cavernous ICA giant aneurysm experiences sudden-onset headache and/or consciousness disturbance, rupture of the aneurysm should be differentiated, even though a cavernous ICA aneurysm rarely causes ASDH.