Neuroradiology (2018) 60:665–667 https://doi.org/10.1007/s00234-018-2039-8 LETTER TO THE EDITOR Cerebral aneurysm rebleed with ventricular breakthrough captured by four-dimensional CT angiography 1,2 1 3 1 Wulphert Venderink & Frank van Megen & Joost de Vries & Frederick J. A. Meijer Received: 14 May 2018 / Accepted: 16 May 2018 / Published online: 28 May 2018 Springer-Verlag GmbH Germany, part of Springer Nature 2018 Case report craniectomy because of progressive brain tissue edema with subfalcine herniation. During admission, the clinical A 44-year-old female presented at our hospital after col- condition of the patient improved with recovery of con- lapse with headache and decrease of consciousness. The sciousness. The patient was transferred to a rehabilitation patient was directly transferred for head CT, which dem- institute, and at 3-month follow-up, the remaining neuro- onstrated a large subarachnoid hemorrhage located in the logical deficits included left side motor weakness and left insular cistern on the right side (Fig. 1). At this moment, side hemianopsia. there was no intraventricular hemorrhage (IVH). During acquisition of a subsequent dynamic CT angiography, also referred to as 4D-CTA, the patient suffered an aneurysmal Discussion rebleed with leakage of contrast out of a middle cerebral artery (MCA) aneurysm on the right
Neuroradiology 0028-3940 – Springer Journals
Published: May 28, 2018
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