Leach J C D, Mitchell P J, Siu K
Department of Neurosurgery, The Royal Melbourne Hospital, Melbourne, Vic., Australia.
J Clin Neurosci. 2004 Apr;11(3):334-7. doi: 10.1016/S0967-5868(03)00165-6.
Dissecting aneurysms of the intracranial carotid circulation are becoming increasingly recognised as a cause of subarachnoid haemorrhage. We present a case where SAH caused by anterior cerebral artery dissection was diagnosed on a repeat angiogram and successfully treated by surgical trapping. Diagnosis may be difficult as angiographic signs may be subtle and variable. Accurate diagnosis and prompt treatment is important, as the re-bleed rate is high.
