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, 21 (1), 18-23

Solitary Intraventricular Hemorrhage Without Subarachnoid Hemorrhage Due to Aneurysmal Rupture: A Case Report

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Solitary Intraventricular Hemorrhage Without Subarachnoid Hemorrhage Due to Aneurysmal Rupture: A Case Report

Seung Soo Kim et al. J Cerebrovasc Endovasc Neurosurg.

Abstract

The presence of primary intraventricular hemorrhage (IVH) without vascular lesion is very rare. We experienced solitary IVH without subarachnoid hemorrhage due to aneurysmal rupture in a 58-year-old man treated with coil embolization, which contributed to his good prognosis. After 33 days of hospitalization, he had mild right hemiplegic symptoms remaining, and he was transferred to a rehabilitation institute for further treatment. In cases of primary IVH, computed tomography angiography seems worthwhile for making a differential diagnosis, although the possibility of IVH due to cerebral aneurysmal rupture is very low. Endovascular intervention is a good option for diagnosis and treatment.

Keywords: Cerebral angiography; Endovascular procedures; Intracranial aneurysm; Intraventricular hemorrhage; Subarachnoid hemorrhage.

Conflict of interest statement

Disclosure of Interest: The authors report no conflict of interest.

Figures

Fig. 1
Fig. 1. The initially checked non-contrast-enhance computed tomography scans. A: The hemorrhage is expanded through the foramen Monro to the contralateral anterior horn of the lateral and third ventricles. B: No definite subarachnoid hemorrhage is observed on the initial computed tomography scan.
Fig. 2
Fig. 2. Computed tomography angiography is performed for the differential diagnosis. A: Three-dimensional reconstruction image shows the aneurysm in left distal internal carotid artery. B: Computed tomography angiogram of the coronal section.
Fig. 3
Fig. 3. Conventional cerebral angiogram clearly showing the aneurysm arising from the left anterior choroidal artery. A: Digital subtraction angiogram in the lateral view showing the left internal carotid artery. B and C: Three-dimentional reconstruction images showing the aneurysm more precisely.
Fig. 4
Fig. 4. A: Preoperative digital subtraction angiogram shows the endovascular catheter tip being advanced at the aneurysmal neck. B: Postoperative digital subtraction angiogram shows successful endovascular embolization and no emboli in distal blood flows.

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