Nazari Pouya, Kasliwal Manish K, Wewel Joshua T, Dua Sumeet G, Chen Michael
Department of Neurosurgery, RUSH University Medical Center, Chicago, IL-60612, USA.
Department of Radiology, RUSH University Medical Center, Chicago, IL-60612, USA.
Neurointervention. 2016 Mar;11(1):42-5. doi: 10.5469/neuroint.2016.11.1.42. Epub 2016 Mar 3.
A 26-year-old male presented with delayed intracerebral hemorrhage from a ruptured distal middle cerebral artery pseudoaneurysm that followed a compound depressed skull fracture from years ago. The brain protrusion through the skull defect likely resulted in stretching and subsequent tearing of the arterial wall resulting in the pseudoaneurysm formation. No prior report of such a clinical occurrence exists in the literature. We highlight an unusual but treatable cause for intracerebral hemorrhage following surgery for traumatic brain injury.
一名26岁男性因多年前的复合性凹陷性颅骨骨折后，大脑中动脉远端假性动脉瘤破裂导致迟发性脑内出血。脑组织通过颅骨缺损处突出，很可能导致动脉壁拉伸并随后撕裂，从而形成假性动脉瘤。文献中尚无此类临床病例的既往报道。我们强调了创伤性脑损伤手术后发生脑出血的一个不寻常但可治疗的原因。
