Acute subdural hematoma caused by a ruptured cavernous internal carotid artery giant aneurysm following abducens nerve palsy: case report and review of the literature

作者：Shigematsu Hideaki; Sorimachi Takatoshi^*; Aoki Rie; Osada Takahiro; Srivatanakul Kittipong; Matsumae Mitsunori

来源：Acta Neurochirurgica, 2015, 157(7): 1113-1116.

DOI：10.1007/s00701-015-2428-2

• Acute subdural hematoma
• Cavernous sinus syndrome
• Magnetic resonance image
• Oculomotor nerve palsy

The authors report a 61-year-old female patient with a giant cavernous aneurysm in the right internal carotid artery (ICA) leading to acute subdural hematoma (ASDH) 7 days after the occurrence of abducens nerve palsy. She underwent ICA occlusion associated with high-flow bypass. In all five reported patients with a cavernous ICA aneurysm causing ASDH, the size of the aneurysm was giant and cranial nerve signs preceded the rupture. When a patient with a symptomatic cavernous ICA giant aneurysm experiences sudden-onset headache and/or consciousness disturbance, rupture of the aneurysm should be differentiated, even though a cavernous ICA aneurysm rarely causes ASDH.

• 出版日期2015-7