scholarly journals Aneurysm and Neurocysticercosis: Casual or Causal Relationship? Case Report and Review of the Literature

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Svetlana Agapejev ◽  
João Luiz Parra-Marinello ◽  
Rodrigo Bazan ◽  
Anete Kinumi Ueda ◽  
Marco Antonio Zanini
Keyword(s):  
Case Report ◽  
Subarachnoid Haemorrhage ◽  
Arterial Hypertension ◽  
Middle Cerebral Artery ◽  
Cerebral Aneurysm ◽  
Causal Relationship ◽  
Review Of The Literature ◽  
Bifurcation Aneurysm ◽  
The Relationship ◽  
Casual Relationship

Four cases of suggestive inflammatory aneurysms in patients with neurocysticercosis have been described. We report a case of a 49-year-old woman who presented with subarachnoid haemorrhage from a right middle cerebral artery bifurcation aneurysm and had a casual relationship with neurocysticercosis. At surgery, a viable cysticercus without signs of inflammation or thickened leptomeninges was found in the distal position of the aneurysm. Postoperatively, the patient received albendazole and dextrochlorpheniramine. In the subsequent three years, the patient was asymptomatic and took drugs to prevent convulsion and arterial hypertension. The relationship between NCC and the presence of cerebral aneurysm is discussed.

scholarly journals Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Ossama Mansour ◽  
Tamer Hassen ◽  
Sameh Fathy
Keyword(s):  
Case Report ◽  
Subarachnoid Haemorrhage ◽  
Cerebral Aneurysm ◽  
Subdural Haematoma ◽  
Neurological Status ◽  
Review Of The Literature ◽  
Acute Subdural Haematoma ◽  
History Of ◽  
High Level

Spontaneous pure acute bilateral subdural haematoma (ASDH) without intraparenchymal or subarachnoid haemorrhage caused by a ruptured cerebral aneurysm is extremely rare. It can follow rupture of different aneurysms specially located in anterior incisural space; the most frequently encountered location is the PcoA aneurysms as demonstrated in the present case. We present a case report of a PcoA aneurysm presenting as pure bilateral ASDH. A high level of suspicion for bleeding of arterial origin should be maintained in all cases of acute subdural haematoma without history of trauma. The neurological status on admission dictates the appropriate timing and methodology of the neuroradiological investigations.

Adjuvant hyperbaric oxygen treatment of acute brain herniation after microsurgical clipping of a recurring cerebral aneurysm: a case report

2021 ◽  
pp. 373-375
Author(s):  
Yaling Liu ◽  
Keyword(s):  
Case Report ◽  
Cerebral Aneurysm ◽  
Hyperbaric Oxygen ◽  
Ct Images ◽  
Left Middle Cerebral Artery ◽  
Brain Herniation ◽  
Hyperbaric Oxygen Treatment ◽  
Aneurysm Clipping ◽  
Oxygen Treatment ◽  
Bifurcation Aneurysm

Introduction: Acute brain herniation is a life-threatening neurological condition that occasionally develops due to severe complications following cerebral aneurysm clipping. Strategies for managing acute brain herniation have not improved substantially during the past decade. Hyperbaric oxygen treatment (HBOT) may alleviate harmful effects of cerebral hypoxia, which is one of the most important pathophysiological features of acute brain herniation and, therefore, may be useful as an adjuvant therapy for acute brain herniation. A case treated with adjuvant HBOT is reported. Case report: A 60-year-old asymptomatic man presented with a recurring left middle cerebral artery bifurcation aneurysm with previous stent-assisted embolisation. After craniotomy for surgical clipping of the aneurysm, disturbance of consciousness and right hemiplegia occurred. Computed tomography (CT) images suggested simultaneous cerebral ischaemia and intracranial haemorrhage. Pharmacologic treatment resulted in no improvement. A CT scan acquired five days after surgery showed uncal and falcine herniation. HBOT was administered five days after surgery, and the patient’s condition dramatically improved. He became conscious, and his hemiplegia improved following seven sessions of HBOT. Simultaneously, CT images showed regression of the acute brain herniation. Conclusions: The patient had recovered completely at one year post-treatment. HBOT may be effective in the treatment of acute brain herniation following cerebral aneurysm clipping.

Bromadiolone poisoning leading to subarachnoid haemorrhage: A case report and review of the literature

2019 ◽  
Vol 44 (6) ◽  
pp. 958-962
Author(s):  
Wei Zuo ◽  
Xiao Zhang ◽  
Jian‐Bo Chang ◽  
Wen‐Bin Ma ◽  
Jun‐Ji Wei
Keyword(s):  
Case Report ◽  
Subarachnoid Haemorrhage ◽  
Review Of The Literature

scholarly journals Clip reconstruction of a large right MCA bifurcation aneurysm. Case report

2014 ◽  
Vol 21 (2) ◽  
pp. 163-167
Author(s):  
A. Giovani ◽  
Angela Neacsu ◽  
Ana Gheorghiu ◽  
R.M. Gorgan
Keyword(s):  
Case Report ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Neurological Deficit ◽  
Sylvian Fissure ◽  
Pterional Craniotomy ◽  
Bifurcation Aneurysm ◽  
Temporary Clip

Abstract We report a case of complex large middle cerebral artery (MCA) bifurcation aneurysm that ruptured during dissection from the very adherent MCA branches but was successfully clipped and the MCA bifurcation reconstructed using 4 Yasargill clips. Through a right pterional craniotomy the sylvian fissure was largely opened as to allow enough workspace for clipping the aneurysm and placing a temporary clip on M1. The pacient recovered very well after surgery and was discharged after 1 week with no neurological deficit. Complex MCA bifurcation aneurysms can be safely reconstructed using regular clips, without the need of using fenestrated clips or complex by-pass procedures.

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