Subdural hemorrhage in the posterior fossa caused by a ruptured cavernous carotid artery aneurysm after a balloon occlusion test. Case report.

Abstract:

:Given the relatively benign natural history of cavernous carotid artery aneurysms and based on anecdotal reports in the literature of subarachnoid hemorrhage (SAH) or subdural hemorrhage (SDH) from these aneurysms, observation is warranted and typically recommended. In this case report, the authors describe a woman who harbored a partially thrombosed, giant cavernous aneurysm that ruptured after she underwent a balloon occlusion test (BOT) and predominately led to an SDH. The authors believe that this occurrence is the first such report in the English literature. They discuss possible mechanisms for this event and the literature related to SAH or SDH from cavernous aneurysms, including why cavernous aneurysms cause such hemorrhages. The authors also recommend that attention be paid to such lesions regarding the possibility of aneurysmal rupture following a BOT.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Andaluz N,Tomsick TA,Keller JT,Zuccarello M

doi

10.3171/jns.2006.105.2.315

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

315-9

issue

2

eissn

0022-3085

issn

1933-0693

journal_volume

105

pub_type

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