Department of Neurosurgery, Neurocenter of Southern Switzerland, Regional Hospital Lugano, Lugano, Switzerland.
J Neurol Surg A Cent Eur Neurosurg. 2022 May;83(3):283-285. doi: 10.1055/s-0040-1720995. Epub 2021 Feb 4.
Intracerebral hemorrhage (ICH) can be considered one of the major neurologic and neurosurgical emergencies that need a time-dependent diagnosis and treatment. On rare occasions, an aneurysmal rupture may also present with isolated ICH without subarachnoid hemorrhage. We present the case of a 48-year-old woman presenting in our neurosurgical department with ICH and a right middle cerebral artery (MCA) occlusion that, 6 weeks after the initial surgical management, unveiled a large MCA aneurysm treated with a clipping. In this study, we discuss our hypothesis about the etiology and the pathophysiology of this rare phenomenon in the light of the literature in the field.
脑出血（ICH）可被视为需要依赖时间进行诊断和治疗的主要神经科和神经外科急症之一。在极少数情况下，动脉瘤破裂也可能表现为单纯的 ICH 而无蛛网膜下腔出血。我们报告了一位 48 岁女性的病例，她因 ICH 和右侧大脑中动脉（MCA）闭塞而到我们神经外科就诊，在初始手术治疗 6 周后，发现一个大型 MCA 动脉瘤，采用夹闭术进行治疗。在本研究中，我们根据该领域的文献，讨论了我们对这种罕见现象的病因和病理生理学的假设。
