Journal of Cerebrovascular and Endovascular Neurosurgery

  • 제26권2호
  • /
  • Pages.174-180
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  • 2024
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  • 2234-8565(pISSN)
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  • 2287-3139(eISSN)
대한뇌혈관외과학회 (Korean Society of Cerebravascular Surgeons)
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Two consecutive ruptured intracranial aneurysm in patient with multiple intracranial aneurysms

  • Jonghyun Seong (Department of Neurosurgery, Kangwon National University Hospital, Kangwon National University College of Medicine) ;
  • Jongyeon Kim (Department of Neurosurgery, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University) ;
  • Seungjin Lee (Department of Neurosurgery, Kangwon National University Hospital, Kangwon National University College of Medicine) ;
  • Byeongoh Kim (Department of Neurosurgery, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University)
  • 투고 : 2023.08.08
  • 심사 : 2023.10.09
  • 발행 : 2024.06.30
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초록

When aneurysmal subarachnoid hemorrhage due to multiple aneurysms is suspected, identifying the rupture site is essential to determine the exact surgical site, but it may not be easy. Even if embolization is adequately performed, complications may remain. Typical complications include rebleeding and hydrocephalus in the early phase and delayed cerebral ischemia in the delayed phase. Herein, we describe a case of rupture of an intracranial aneurysm after performing embolization for a different ruptured intracranial aneurysm in a patient with multiple intracranial aneurysms. Patients with multiple intracranial aneurysms need to be considered for closer observation than those with a single ruptured intracranial aneurysm, even if the patient's prognosis is good.

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참고문헌

  1. Chung DY, Abdalkader M, Nguyen TN. Aneurysmal subarachnoid hemorrhage. Neurol Clin. 2021 May;39(2):419-42. https://doi.org/10.1016/j.ncl.2021.02.006
  2. Nehls DG, Flom RA, Carter LP, Spetzler RF. Multiple intracranial aneurysms: Determining the site of rupture. J Neurosurg. 1985 Sep;63(3):342-8. https://doi.org/10.3171/jns.1985.63.3.0342
  3. Neifert SN, Chapman EK, Martini ML, Shuman WH, Schupper AJ, Oermann EK, et al. Aneurysmal subarachnoid hemorrhage: The last decade. Transl Stroke Res. 2021 Jun;12(3):428-46. https://doi.org/10.1007/s12975-020-00867-0
  4. Orning JL, Shakur SF, Alaraj A, Behbahani M, Charbel FT, Aletich VA, et al. Accuracy in identifying the source of subarachnoid hemorrhage in the setting of multiple intracranial aneurysms. Neurosurgery. 2018 Jul;83(1):62-8. https://doi.org/10.1093/neuros/nyx339
  5. Osgood ML. Aneurysmal subarachnoid hemorrhage: Review of the pathophysiology and management strategies. Curr Neurol Neurosci Rep. 2021 Jul;21(9):50.
  6. Sato H, Kamide T, Kikkawa Y, Kimura T, Kuribara S, Yanagawa T, et al. Clinical characteristics of ruptured intracranial aneurysm in patients with multiple intracranial aneurysms. World Neurosurg. 2021 May;149:e935-41. https://doi.org/10.1016/j.wneu.2021.01.072
  7. Suarez JI. Diagnosis and management of subarachnoid hemorrhage. Continuum (Minneap Minn). 2015 Oct;21(5 Neurocritical Care):1263-87. https://doi.org/10.1212/CON.0000000000000217