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Actively bleeding intracranial aneurysm demonstrated by CT angiography.
Clin Neurol Neurosurg. 2009 Jan; 111(1):94-6.CN

Abstract

CT angiography (CTA) is increasingly being utilized in the initial diagnosis of subarachnoid hemorrhage. While active bleeding from an intracranial aneurysm has been demonstrated on conventional angiography, CT angiogram findings of active aneurysmal hemorrhage are not well described. We present a case of an actively bleeding anterior communicating artery aneurysm demonstrated by CT angiography. The initial CTA demonstrated the extravasation of contrast from the anterior communicating artery. A second CT scan less than 1h later confirmed the ongoing hemorrhage, with extension of hemorrhage into the subarachnoid cisterns and the ventricular system. Recognition of active aneurismal hemorrhage by CTA may modify plan of treatment and follow-up imaging.

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Authors+Show Affiliations

Desai S
Department of Surgery, Neuroscience and Experimental Therapeutics, Texas A&M Health Science Center, College of Medicine, College Station, Bryan, TX 77802, United States.
Friedman JA
No affiliation info available
Hlavin J
No affiliation info available
Kash F
No affiliation info available

MeSH

AgedAneurysm, RupturedAnterior Cerebral ArteryCerebral AngiographyHumansIntracranial AneurysmMaleSubarachnoid HemorrhageTomography, X-Ray Computed

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18980796

Citation

Desai, Sohum, et al. "Actively Bleeding Intracranial Aneurysm Demonstrated By CT Angiography." Clinical Neurology and Neurosurgery, vol. 111, no. 1, 2009, pp. 94-6.
Desai S, Friedman JA, Hlavin J, et al. Actively bleeding intracranial aneurysm demonstrated by CT angiography. Clin Neurol Neurosurg. 2009;111(1):94-6.
Desai, S., Friedman, J. A., Hlavin, J., & Kash, F. (2009). Actively bleeding intracranial aneurysm demonstrated by CT angiography. Clinical Neurology and Neurosurgery, 111(1), 94-6. https://doi.org/10.1016/j.clineuro.2008.07.013
Desai S, et al. Actively Bleeding Intracranial Aneurysm Demonstrated By CT Angiography. Clin Neurol Neurosurg. 2009;111(1):94-6. PubMed PMID: 18980796.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Actively bleeding intracranial aneurysm demonstrated by CT angiography. AU - Desai,Sohum, AU - Friedman,Jonathan A, AU - Hlavin,Joseph, AU - Kash,Frederick, Y1 - 2008/11/05/ PY - 2008/03/09/received PY - 2008/06/04/revised PY - 2008/07/13/accepted PY - 2008/11/5/pubmed PY - 2009/2/20/medline PY - 2008/11/5/entrez SP - 94 EP - 6 JF - Clinical neurology and neurosurgery JO - Clin Neurol Neurosurg VL - 111 IS - 1 N2 - CT angiography (CTA) is increasingly being utilized in the initial diagnosis of subarachnoid hemorrhage. While active bleeding from an intracranial aneurysm has been demonstrated on conventional angiography, CT angiogram findings of active aneurysmal hemorrhage are not well described. We present a case of an actively bleeding anterior communicating artery aneurysm demonstrated by CT angiography. The initial CTA demonstrated the extravasation of contrast from the anterior communicating artery. A second CT scan less than 1h later confirmed the ongoing hemorrhage, with extension of hemorrhage into the subarachnoid cisterns and the ventricular system. Recognition of active aneurismal hemorrhage by CTA may modify plan of treatment and follow-up imaging. SN - 1872-6968 UR - https://www.unboundmedicine.com/medline/citation/18980796/Actively_bleeding_intracranial_aneurysm_demonstrated_by_CT_angiography_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0303-8467(08)00274-6 DB - PRIME DP - Unbound Medicine ER -