Open AccessIncidental diagnosis of two intracranial aneurysms following surgical evacuation of chronic subdural hematoma
Author(s) -
Joe M Das,
B P Rajmohan,
M S Sharmad,
Anilkumar Peethambaran
Publication year - 2015
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
ISSN - 1793-5482
DOI - 10.4103/1793-5482.154986
Subject(s) - medicine , subarachnoid hemorrhage , chronic subdural hematoma , context (archaeology) , hematoma , aneurysm , anterior communicating artery , radiology , computed tomography , midline shift , level of consciousness , acute subdural hematoma , internal carotid artery , surgery , anesthesia , paleontology , biology
The development of subarachnoid hemorrhage (SAH) following evacuation of chronic subdural hematoma (CSDH) is a very rare phenomenon. SAH in this context occurring secondary to intracranial aneurysm rupture is still rare. We report a case of an elderly lady who presented with right hemiplegia and altered sensorium. Computed tomography (CT) scan of the brain revealed a left fronto-temporoparietal CSDH with midline shift, which was promptly evacuated surgically via a single burr-hole. Postoperatively, her level of consciousness deteriorated and there was increased the amount of drain. Emergency CT of the brain revealed diffuse SAH. CT cerebral angiogram revealed one aneurysm each in the right internal carotid artery and anterior communicating artery. Meanwhile, her consciousness level improved on conservative management. The relatives were not keen for further follow-up.