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01-01-2012 | Case Report

Traumatic subarachnoid hemorrhage, basal ganglia hematoma and ischemic stroke caused by a torn lenticulostriate artery

Authors: Christian Fung, Werner J. Z’Graggen, Jürgen Beck, Jan Gralla, Stephan M. Jakob, Philippe Schucht, Andreas Raabe

Published in: Acta Neurochirurgica | Issue 1/2012

Abstract

Subarachnoid hemorrhage (SAH), basal ganglia hematoma (BGH) and ischemic stroke are common diseases with diverging therapies. The simultaneous occurrence of these diseases is rare and complicates the therapy. We report the case of a 30-year-old man with a ruptured lenticulostriate artery after traumatic brain injury that caused the combination of SAH, BGH and ischemic stroke and subsequent cerebral vasospasm. This rupture mimicked the pathophysiology and imaging appearance of aneurysmal SAH. The site of rupture was not secured by any treatment; however, hyperdynamic therapy and percutaneous transluminal angioplasty were feasible in this setting to prevent additional delayed neurological deficit.

Boto GR, Lobato RD, Rivas JJ, Gomez PA, de la Lama A, Lagares A (2001) Basal ganglia hematomas in severely head injured patients: clinicoradiological analysis of 37 cases. J Neurosurg 94:224–232PubMedCrossRef

Broderick J, Connolly S, Feldmann E, Hanley D, Kase C, Krieger D, Mayberg M, Morgenstern L, Ogilvy CS, Vespa P, Zuccarello M (2007) Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Circulation 116:e391–e413PubMedCrossRef

Conti A, Angileri FF, Longo M, Pitrone A, Granata F, La Rosa G (2008) Intra-arterial nimodipine to treat symptomatic cerebral vasospasm following traumatic subarachnoid haemorrhage. Technical case report. Acta Neurochir (Wien) 150:1197–1202CrossRef

Dharker SR, Mittal RS, Bhargava N (1993) Ischemic lesions in basal ganglia in children after minor head injury. Neurosurgery 33:863–865PubMedCrossRef

Eisenberg HM, Gary HE Jr, Aldrich EF, Saydjari C, Turner B, Foulkes MA, Jane JA, Marmarou A, Marshall LF, Young HF (1990) Initial CT findings in 753 patients with severe head injury. A report from the NIH Traumatic Coma Data Bank. J Neurosurg 73:688–698PubMedCrossRef

European Stroke Organisation (2008) Guidelines for management of ischaemic stroke and transient ischaemic attack. Cerebrovasc Dis 25:457–507CrossRef

Fisher CM, Kistler JP, Davis JM (1980) Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6:1–9PubMedCrossRef

Katz DI, Alexander MP, Seliger GM, Bellas DN (1989) Traumatic basal ganglia hemorrhage: clinicopathologic features and outcome. Neurology 39:897–904PubMed

Kieslich M, Fiedler A, Heller C, Kreuz W, Jacobi G (2002) Minor head injury as cause and co-factor in the aetiology of stroke in childhood: a report of eight cases. J Neurol Neurosurg Psychiatry 73:13–16PubMedCrossRef

10.

Kuroiwa T, Tanabe H, Takatsuka H, Arai M, Ozaki T, Nagasawa S, Ohta T (1994) Paramedian thalamic infarction following blunt head injury—case report. Neurol Med Chir (Tokyo) 34:20–22CrossRef

11.

Lee DJ, Moftakhar P, Glenn TC, Vespa PM, Martin NA (2008) Intra-arterial calcium channel blocker infusion for treatment of severe vasospasm in traumatic brain injury: case report. Neurosurgery 63:E1004–E1006PubMedCrossRef

12.

Martin NA, Doberstein C, Alexander M, Khanna R, Benalcazar H, Alsina G, Zane C, McBride D, Kelly D, Hovda D et al (1995) Posttraumatic cerebral arterial spasm. J Neurotrauma 12:897–901PubMedCrossRef

13.

Oertel M, Boscardin WJ, Obrist WD, Glenn TC, McArthur DL, Gravori T, Lee JH, Martin NA (2005) Posttraumatic vasospasm: the epidemiology, severity, and time course of an underestimated phenomenon: a prospective study performed in 299 patients. J Neurosurg 103:812–824PubMedCrossRef

14.

Platz J, Güresir E, Vatter H, Berkefeld J, Seifert V, Raabe A, Beck J (2011) Unsecured intracranial aneurysms and induced hypertension in cerebral vasospasm: is induced hypertension safe? Neurocrit Care 14:168–175PubMedCrossRef

15.

Raabe A, Beck J, Keller M, Vatter H, Zimmermann M, Seifert V (2005) Relative importance of hypertension compared with hypervolemia for increasing cerebral oxygenation in patients with cerebral vasospasm after subarachnoid hemorrhage. J Neurosurg 103:974–981PubMedCrossRef

16.

Shahlaie K, Boggan JE, Latchaw RE, Ji C, Muizelaar JP (2009) Posttraumatic vasospasm detected by continuous brain tissue oxygen monitoring: treatment with intraarterial verapamil and balloon angioplasty. Neurocrit Care 10:61–69PubMedCrossRef

17.

Taneda M, Kataoka K, Akai F, Asai T, Sakata I (1996) Traumatic subarachnoid hemorrhage as a predictable indicator of delayed ischemic symptoms. J Neurosurg 84:762–768PubMedCrossRef

18.

Weir B, Grace M, Hansen J, Rothberg C (1978) Time course of vasospasm in man. J Neurosurg 48:173–178PubMedCrossRef

19.

Yamakawa N, Furuno M, Okada M, Waga S (1995) Traumatic basal ganglia haemorrhage: report of 7 cases. J Clin Neurosci 2:55–58PubMedCrossRef

20.

Zubkov AY, Lewis AI, Raila FA, Zhang J, Parent AD (2000) Risk factors for the development of post-traumatic cerebral vasospasm. Surg Neurol 53:126–130PubMedCrossRef

21.

Zubkov AY, Pilkington AS, Bernanke DH, Parent AD, Zhang J (1999) Posttraumatic cerebral vasospasm: clinical and morphological presentations. J Neurotrauma 16:763–770PubMedCrossRef

Title: Traumatic subarachnoid hemorrhage, basal ganglia hematoma and ischemic stroke caused by a torn lenticulostriate artery
Authors: Christian Fung
Werner J. Z’Graggen
Jürgen Beck
Jan Gralla
Stephan M. Jakob
Philippe Schucht
Andreas Raabe
Publication date: 01-01-2012
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 1/2012
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-011-1162-7

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Springer Medicine

Traumatic subarachnoid hemorrhage, basal ganglia hematoma and ischemic stroke caused by a torn lenticulostriate artery

Abstract

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Springer Medicine

Abstract

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