Infracallosal Aneurysm Rupture Revealed by Chronic Subdural Hematoma: A Case Report

M. Dama, O. Diallo, O. Coulibaly, D. Sissoko, T. M. Coulibaly, A. Maiga, Y. Sogoba
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Abstract

Chronic subdural hematoma (CSDH) is one of the most common entities seen in neurosurgery. We report a case of infracallosal aneurysm revealed by CSDH in a 52 years old woman. She presented 3 days alteration of consciousness in 2019 and repeated in September 2020 a severe headache and dizziness. There was no history of others symptoms, nor head trauma. Routine blood examination and coagulation profile were normal. Emergency computed tomography (TC) showed a left temporoparietal-occipital CSDH. Cerebral Angio CT found a bilobated of A 2 aneurysm. The precallosal interhemispheric approach was made and clipping the aneurysm after evacuation of CSDH without complication. CSDH is one of the revealed features of intracerebral aneurysm rupture.
慢性硬膜下血肿显示胼胝体下动脉瘤破裂1例
慢性硬膜下血肿(CSDH)是神经外科最常见的疾病之一。我们报告一例经CSDH诊断为胼胝体下动脉瘤的52岁女性病例。2019年出现3天意识改变,2020年9月再次出现严重头痛和头晕。没有其他症状史,也没有头部外伤。血常规、凝血指标正常。急诊计算机断层扫描(TC)显示左侧颞顶-枕部CSDH。脑血管CT发现双叶状a2动脉瘤。采用胼胝体前半球入路夹闭CSDH术后动脉瘤,无并发症。CSDH是颅内动脉瘤破裂的显性特征之一。
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