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The relationship of blunt head trauma, subarachnoid hemorrhage, and rupture of pre-existing intracranial saccular aneurysms.

Publication ,  Journal Article
Cummings, TJ; Johnson, RR; Diaz, FG; Michael, DB
Published in: Neurol Res
March 2000

Patients with a history of closed head trauma and subarachnoid hemorrhage are uncommonly diagnosed with an intracranial saccular aneurysm. This study presents a group of patients in whom a pre-existing aneurysm was discovered during work-up for traumatic subarachnoid hemorrhage. Without an accurate pre-trauma clinical history, it is difficult to define the relationship between trauma and the rupture of a pre-existing intracranial saccular aneurysm. We retrospectively reviewed 130 patients who presented to Detroit Receiving Hospital between 1993 and 1997 with a diagnosis of subarachnoid hemorrhage (SAH). Of these 130 patients, 70 were spontaneous, and 60 had a history of trauma. Mechanisms of trauma include motor vehicle accident, assault, or fall from a height. Of the 60 patients with subarachnoid hemorrhage and a history of trauma, 51 (86%) did not undergo conventional four-vessel angiography, and had no further neurological sequelae. Nine patients (14%) had a suspicious quantity of blood within the basal cisterns or Sylvian fissure and had a four-vessel angiogram. Five patients (8%) were diagnosed with a saccular intracranial aneurysm, and all underwent surgical clipping of the aneurysm. We conclude that the majority of patients (92%), with post-traumatic SAH do not harbor intracranial aneurysms. However, during initial evaluation, a high level of suspicion must be entertained when post-traumatic subarachnoid hemorrhage is encountered in the basal cisterns or Sylvian fissure, as 8% of our population were diagnosed with aneurysms.

Duke Scholars

Published In

Neurol Res

DOI

ISSN

0161-6412

Publication Date

March 2000

Volume

22

Issue

2

Start / End Page

165 / 170

Location

England

Related Subject Headings

  • Wounds, Nonpenetrating
  • Tomography, X-Ray Computed
  • Subarachnoid Hemorrhage
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Intracranial Aneurysm
  • Humans
  • Female
  • Craniotomy
 

Citation

APA
Chicago
ICMJE
MLA
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Cummings, T. J., Johnson, R. R., Diaz, F. G., & Michael, D. B. (2000). The relationship of blunt head trauma, subarachnoid hemorrhage, and rupture of pre-existing intracranial saccular aneurysms. Neurol Res, 22(2), 165–170. https://doi.org/10.1080/01616412.2000.11741055
Cummings, T. J., R. R. Johnson, F. G. Diaz, and D. B. Michael. “The relationship of blunt head trauma, subarachnoid hemorrhage, and rupture of pre-existing intracranial saccular aneurysms.Neurol Res 22, no. 2 (March 2000): 165–70. https://doi.org/10.1080/01616412.2000.11741055.
Cummings TJ, Johnson RR, Diaz FG, Michael DB. The relationship of blunt head trauma, subarachnoid hemorrhage, and rupture of pre-existing intracranial saccular aneurysms. Neurol Res. 2000 Mar;22(2):165–70.
Cummings, T. J., et al. “The relationship of blunt head trauma, subarachnoid hemorrhage, and rupture of pre-existing intracranial saccular aneurysms.Neurol Res, vol. 22, no. 2, Mar. 2000, pp. 165–70. Pubmed, doi:10.1080/01616412.2000.11741055.
Cummings TJ, Johnson RR, Diaz FG, Michael DB. The relationship of blunt head trauma, subarachnoid hemorrhage, and rupture of pre-existing intracranial saccular aneurysms. Neurol Res. 2000 Mar;22(2):165–170.
Journal cover image

Published In

Neurol Res

DOI

ISSN

0161-6412

Publication Date

March 2000

Volume

22

Issue

2

Start / End Page

165 / 170

Location

England

Related Subject Headings

  • Wounds, Nonpenetrating
  • Tomography, X-Ray Computed
  • Subarachnoid Hemorrhage
  • Neurology & Neurosurgery
  • Middle Aged
  • Male
  • Intracranial Aneurysm
  • Humans
  • Female
  • Craniotomy