J Neurol Surg A Cent Eur Neurosurg 2017; 78(05): 517-520
DOI: 10.1055/s-0036-1593960
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Posttraumatic Cavernous Segment Internal Carotid Artery Aneurysmal Rupture Presenting as Tentorial Subdural Hematoma

Syamala Shunmugam
1   Institute of Neurosurgery, Madras Medical College, Chennai, Tamil Nadu, India
,
Thas Emmanuel
1   Institute of Neurosurgery, Madras Medical College, Chennai, Tamil Nadu, India
,
Shyam Duvuru
1   Institute of Neurosurgery, Madras Medical College, Chennai, Tamil Nadu, India
› Author Affiliations
Further Information

Publication History

19 July 2016

14 September 2016

Publication Date:
01 December 2016 (online)

Abstract

Traumatic aneurysm rupture following a closed head injury is rare. The rupture of a cavernous internal carotid artery (ICA) aneurysm following a head injury presenting as a tentorial subdural hematoma has not been reported in the literature. We discuss a 50-year-old woman with a closed head injury with her initial computed tomography scan showing a tentorial subdural hematoma. Further investigations revealed the presence of a ruptured cavernous ICA aneurysm. We also conducted a literature review of posttraumatic ICA aneurysmal rupture.

 
  • References

  • 1 Andaluz N, Tomsick TA, Keller JT, Zuccarello M. Subdural hemorrhage in the posterior fossa caused by a ruptured cavernous carotid artery aneurysm after a balloon occlusion test. Case report. J Neurosurg 2006; 105 (02) 315-319
  • 2 Barr HWK, Blackwood W, Meadows SP. Intracavernous carotid aneurysms. A clinical-pathological report. Brain 1971; 94 (04) 607-622
  • 3 Hodes JE, Fletcher WA, Goodman DF, Hoyt WF. Rupture of cavernous carotid artery aneurysm causing subdural hematoma and death. Case report. J Neurosurg 1988; 69 (04) 617-619
  • 4 McLaughlin MR, Jho HD, Kwon Y. Acute subdural hematoma caused by a ruptured giant intracavernous aneurysm: case report. Neurosurgery 1996; 38 (02) 388-392
  • 5 Shigematsu H, Sorimachi T, Aoki R, Osada T, Srivatanakul K, Matsumae M. Acute subdural hematoma caused by a ruptured cavernous internal carotid artery giant aneurysm following abducens nerve palsy: case report and review of the literature. Acta Neurochir (Wien) 2015; 157 (07) 1113-1116
  • 6 Parkinson D, West M. Traumatic intracranial aneurysms. J Neurosurg 1980; 52 (01) 11-20
  • 7 Inamasu J, Saito R, Nakamura Y. , et al. Acute subdural hematoma caused by ruptured cerebral aneurysms: diagnostic and therapeutic pitfalls. Resuscitation 2002; 52 (01) 71-76
  • 8 Barton E, Tudor J. Subdural haematoma in association with intracranial aneurysm. Neuroradiology 1982; 23 (03) 157-160
  • 9 Clarke E, Walton JN. Subdural haematoma complicating intracranial aneurysm and angioma. Brain 1953; 76 (03) 378-404
  • 10 Ishibashi A, Yokokura Y, Sakamoto M. Acute subdural hematoma without subarachnoid hemorrhage due to ruptured intracranial aneurysm—case report. Neurol Med Chir (Tokyo) 1997; 37 (07) 533-537
  • 11 Kondziolka D, Bernstein M, ter Brugge K, Schutz H. Acute subdural hematoma from ruptured posterior communicating artery aneurysm. Neurosurgery 1988; 22 (1 Pt 1): 151-154
  • 12 Triantafyllopoulou A, Beaumont A, Ulatowski J, Tamargo RJ, Varelas PN. Acute subdural hematoma caused by an unruptured, thrombosed giant intracavernous aneurysm. Neurocrit Care 2006; 5 (01) 39-42
  • 13 Nowak G, Schwachenwald S, Kehler U, Müller H, Arnold H. Acute subdural haematoma from ruptured intracranial aneurysms. Acta Neurochir (Wien) 1995; 136 (3-4): 163-167
  • 14 Linskey ME, Sekhar LN, Hirsch Jr WL, Yonas H, Horton JA. Aneurysms of the intracavernous carotid artery: natural history and indications for treatment. Neurosurgery 1990; 26 (06) 933-937; discussion 937–938