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01-07-2015 | Case Report - Vascular

Acute subdural hematoma caused by a ruptured cavernous internal carotid artery giant aneurysm following abducens nerve palsy: case report and review of the literature

Authors: Hideaki Shigematsu, Takatoshi Sorimachi, Rie Aoki, Takahiro Osada, Kittipong Srivatanakul, Mitsunori Matsumae

Published in: Acta Neurochirurgica | Issue 7/2015

Abstract

The authors report a 61-year-old female patient with a giant cavernous aneurysm in the right internal carotid artery (ICA) leading to acute subdural hematoma (ASDH) 7 days after the occurrence of abducens nerve palsy. She underwent ICA occlusion associated with high-flow bypass. In all five reported patients with a cavernous ICA aneurysm causing ASDH, the size of the aneurysm was giant and cranial nerve signs preceded the rupture. When a patient with a symptomatic cavernous ICA giant aneurysm experiences sudden-onset headache and/or consciousness disturbance, rupture of the aneurysm should be differentiated, even though a cavernous ICA aneurysm rarely causes ASDH.

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Title: Acute subdural hematoma caused by a ruptured cavernous internal carotid artery giant aneurysm following abducens nerve palsy: case report and review of the literature
Authors: Hideaki Shigematsu
Takatoshi Sorimachi
Rie Aoki
Takahiro Osada
Kittipong Srivatanakul
Mitsunori Matsumae
Publication date: 01-07-2015
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 7/2015
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-015-2428-2

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Acute subdural hematoma caused by a ruptured cavernous internal carotid artery giant aneurysm following abducens nerve palsy: case report and review of the literature

Abstract

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Abstract

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