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首页> 外文期刊>Journal of neurological sciences (Turkish) >Aneurysmal Subdural Hemorrhage Due To Pericallosal Artery Aneurysms
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Aneurysmal Subdural Hemorrhage Due To Pericallosal Artery Aneurysms

机译：膜周动脉瘤导致的动脉瘤性硬膜下出血

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Acute subdural haematoma (SDH) in association with aneurysmal subarachnoid hemorrhage (SAH) from a pericallosal artery aneurysm is extremely rare. Although rare, failure to diagnose such an uncommon aneurysm can lead to fatal errors in surgical planning for SDH. A 73-years old woman was brought to the emergency department complaining of acute onset severe headache and depressed level of consciousness. There was no history of trauma. On neurological examination, the patient was unconscious, unresponsive to painful stimuli. Cranial computed tomography (CT) demonstrated a right holo-hemispheric SDH, relatively little SAH and transtentorial herniation. Suspicion led to the demonstration of two aneurysms in the anterior cerebral artery (ACA) using quick CT-angiography. The patient was taken for emergency surgery for successful distal ACA aneurysm clipping as well as SDH evacuation. The patient had an uneventful postoperative course with good recovery. We conclude that a careful examination of basal radiological investigations is of vital importance to decrease the operative risk of mortality and morbidity.
机译：急性硬膜下血肿（SDH）伴有由颅周动脉瘤引起的动脉瘤性蛛网膜下腔出血（SAH）极为罕见。尽管很少见，但未能诊断出这种罕见的动脉瘤会导致SDH手术计划中的致命错误。一名73岁的老妇被送往急诊室，抱怨急性发作，剧烈头痛和意识低落。没有外伤史。经神经系统检查，患者失去知觉，对疼痛刺激无反应。颅骨计算机断层扫描（CT）显示右半球SDH，相对较少的SAH和经颅疝。怀疑导致使用快速CT血管造影在脑前动脉（ACA）中显示出两个动脉瘤。该患者因成功完成远端ACA动脉瘤夹闭和SDH排空而接受急诊手术。病人术后过程平稳，恢复良好。我们得出结论，对基础放射学检查进行仔细检查对于降低死亡率和发病率的手术风险至关重要。

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