A Small Asymptomatic Intracranial Aneurysm in an Elderly Woman that Ruptured Soon after Discovery

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Title ( eng )
A Small Asymptomatic Intracranial Aneurysm in an Elderly Woman that Ruptured Soon after Discovery
Creator
Ohba Shinji
Arita Kazunori
Shibukawa Masaaki
Nomura Masayuki
Source Title
Hiroshima Journal of Medical Sciences
Volume 50
Issue 3
Start Page 79
End Page 81
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
A 78-year-old woman underwent magnetic resonance (MR) imaging to assess the deterioration of her right hemiparesis initially caused by putaminal hemorrhage that occurred 5 years prior to referral. MR imaging detected an anterior communicating artery aneurysm but no new lesion was seen that might have caused the deterioration was observed. Hemiparesis improved within several days and she was referred for endovascular treatment of the aneurysm. Digital subtraction angiography demonstrated a 4.4 mm long aneurysm at the Al-A2 junction of her left anterior cerebral artery. Information on the risk associated with treatment caused her to hesitate. Three days after discharge and 40 days after the discovery of the aneurysm it ruptured, causing severe subarachnoid hemorrhage. The patient died on the following day.
Keywords
Rupture
Incidental aneurysm
Elderly
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University Medical Press
Date of Issued 2001-09
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312