Aneurysmal subarachnoid haemorrhage in the context of a patient with traumatic brain injury

W. Florez-Perdomo, Laura Acevedo-Aguilar, L. Mass-Hernández, Michael Gregorio Ortega Sierra, Jhoyner Alberto Jiménez-Filigrana, Luis Jose Payares-Celins, Roberto Andrés Ramos-Cordoba, Jorge Alberto Nuñez-Gamez
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Abstract

Introduction: Traumatic brain injury is a major public health problem worldwide, with higher incidence rates in low- and middle-income countries. In this context, the development of major complications has been evidenced, such as the formation of haemorrhages due to traumatic rupture of a cerebral aneurysm, which may threaten the patient's life and therefore require immediate medical and neurosurgical procedures. Case: We present the case of a male patient in the fourth decade of life, who presented a closed head trauma with the consequent development of subarachnoid haemorrhage in the territory of the right middle cerebral artery secondary to traumatic aneurysmal rupture Conclusion: One of the complications that can occur in the context of head trauma is the development of subarachnoid haemorrhage due to traumatic aneurysmal rupture. Despite therapeutic options, these scenarios continue to be a challenge in low- and middle-income countries due to the lack of specialized tools in neurosurgical and neurorehabilitation areas
创伤性脑损伤患者的动脉瘤性蛛网膜下腔出血
外伤性脑损伤是世界范围内的一个主要公共卫生问题,在低收入和中等收入国家发病率较高。在这方面,有证据表明发生了重大并发症,例如由于脑动脉瘤外伤性破裂而形成出血,可能威胁到患者的生命,因此需要立即进行医疗和神经外科手术。病例:我们报告了一名40岁男性患者的病例,他表现出闭合性头部创伤,随后发生脑中动脉右侧蛛网膜下腔出血,继发于外伤性动脉瘤破裂。结论:在头部创伤的背景下,可能发生的并发症之一是由于外伤性动脉瘤破裂导致的蛛网膜下腔出血。尽管有治疗选择,但由于缺乏神经外科和神经康复领域的专门工具,这些情况在低收入和中等收入国家仍然是一个挑战
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