Prasad K S Manjunath, Dambatta Shuaibu Sule, Dervin James E
James Cook University Hospital, Neurosurgery, Marton Road, Middlesbrough TS4 3BW, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.11.2008.1184. Epub 2009 Apr 7.
The incidence of aneurysmal subarachnoid haemorrhage (SAH) in the UK is about 10 per 100 000 of the population per year and it is a potentially fatal condition. Prompt recognition and referral to a neurosurgical unit is crucial for a better outcome. A typical history of sudden severe headache, CT scan and sometimes a lumbar puncture would help clinch the diagnosis. Though intracerebral haemorrhage (ICH) and intraventricular haemorrhage (IVH) are not uncommon after an aneurysmal rupture, ICH and/or IVH without SAH are rare (<2%). In such cases, a high index of suspicion is needed to deliver the correct management. This report describes a case of posterior communicating artery aneurysm presenting with pure IVH on CT. The aneurysm was diagnosed by performing a CT angiogram and the patient underwent a successful coil embolisation.
在英国，动脉瘤性蛛网膜下腔出血（SAH）的发病率约为每年每10万人中有10例，这是一种可能致命的疾病。迅速识别并转诊至神经外科单位对于获得更好的治疗结果至关重要。典型的突发剧烈头痛病史、CT扫描以及有时进行的腰椎穿刺有助于确诊。虽然动脉瘤破裂后脑出血（ICH）和脑室内出血（IVH）并不少见，但无SAH的ICH和/或IVH却很罕见（<2%）。在这种情况下，需要高度怀疑才能进行正确的处理。本报告描述了一例经CT检查显示为单纯IVH的后交通动脉瘤病例。通过CT血管造影诊断出动脉瘤，患者接受了成功的弹簧圈栓塞治疗。
