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題 名 | 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內血腫表現而無蜘蛛膜下腔血腫:病例報告 |
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作 者 | 翁上硯; 郭律志; | 書刊名 | Journal of Radiological Science |
卷 期 | 39:1 2014.03[民103.03] |
頁 次 | 頁25-28+a9 |
分類號 | 415.261、415.261 |
關鍵詞 | 顱內動脈瘤; 腦內血腫; 蜘蛛網膜下腔出血; Intracranial aneurysm; Intracerebral Hematoma; Subarachnoid hemorrhage; SAH; |
語 文 | 英文(English) |
英文摘要 | Although intracerebral hemorrhage (ICH) 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. |
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