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Aneurysmal rupture during angiography

L Deecke, H G Goldscheider, K Rittmeyer

Archiv Fur Psychiatrie Und Nervenkrankheiten

|October 9, 1978

Summary

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A ruptured right middle cerebral artery aneurysm caused significant subarachnoid hemorrhage during angiography. The traumatic aneurysm likely ruptured two days after a head injury.

Area of Science:

Neurology
Neurosurgery
Radiology

Background:

Cerebral aneurysms can rupture, leading to subarachnoid hemorrhage.
Angiography is a diagnostic tool for evaluating cerebral vasculature.
Traumatic brain injury can be associated with vascular complications.

Purpose of the Study:

To present a case of middle cerebral artery aneurysm rupture during angiography.
To discuss the potential traumatic origin of the aneurysm.
To highlight the timing of rupture in relation to angiography and head trauma.

Main Methods:

A case study approach was employed.
Cerebral angiography was performed, including frontal and lateral carotidograms.
Clinical presentation and imaging findings were analyzed.

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Main Results:

Rupture of a right middle cerebral artery aneurysm occurred during angiography.
Profuse subarachnoid hemorrhage was observed.
The aneurysm ruptured two days after a closed cerebral trauma.

Conclusions:

The presented case illustrates a rare complication of angiography.
The aneurysm's rupture, occurring post-trauma and during diagnostic imaging, suggests a traumatic etiology.
This case underscores the importance of considering traumatic aneurysms in patients with head injuries and vascular events.