Remote hypertensive intracerebral haematoma following clipping of an intracranial aneurysm

We report a case of a 58-year-old woman who presented with an aneurysmal subarachnoid haemorrhage. Immediately following clipping of this aneurysm, she had a spontaneous hypertensive bleed in the contralateral hemisphere. Although very unusual, hypertensive episodes following aneurysmal subarachnoid haemorrhage must carry a risk of such an intracranial event.

[1]  Yoshiki Nakamura,et al.  Air in the spinal canal after skull base fracture. , 2002, The American journal of emergency medicine.

[2]  K. Amankwa,et al.  A case of pneumocephalus secondary to blunt head trauma. , 2001, The Journal of emergency medicine.

[3]  E. Mascha,et al.  Relation between Perioperative Hypertension and Intracranial Hemorrhage after Craniotomy , 2000, Anesthesiology.

[4]  M. Mantle,et al.  Cervical pneumorrhachis. , 2000, Clinical radiology.

[5]  M. Shigemori,et al.  Simultaneous occurrence of aneurysmal subarachnoid hemorrhage and remote intracerebral hemorrhage--case report. , 1995, Neurologia medico-chirurgica.

[6]  T. Nose,et al.  Concurrent subarachnoid hemorrhage due to ruptured aneurysm and hypertensive intracerebral hemorrhage--case report. , 1994, Neurologia medico-chirurgica.

[7]  A. Drevelengas,et al.  Pneumorrhachis associated with spontaneous pneumomediastinum. , 1994, European journal of radiology.

[8]  D. Katz,et al.  Pneumorachis and pneumocephalus caused by pneumothorax and multiple thoracic vertebral fractures. , 1994, Clinical imaging.

[9]  S. Tsunoda,et al.  Spontaneous intracerebral hemorrhage in cases of severe angiospasm following ruptured aneurysm--a pathological study. , 1991, Neurologia medico-chirurgica.

[10]  W. Wagle,et al.  Intraspinal air: an unusual manifestation of blunt chest trauma. , 1990, Clinical imaging.

[11]  R. Pezzuti,et al.  Clinical significance of traumatic pneumorrhachis. , 1989, AJR. American journal of roentgenology.

[12]  I H Kalfas,et al.  Postoperative hemorrhage: a survey of 4992 intracranial procedures. , 1988, Neurosurgery.

[13]  O. Flodmark,et al.  Pneumorrhachis after jejunal entrapment caused by a fracture dislocation of the lumbar spine. , 1988, AJR. American journal of roentgenology.

[14]  D. Gentleman,et al.  Postoperative extradural hematoma associated with induced hypertension. , 1985, Neurosurgery.

[15]  H. Nukui,et al.  Postoperative intracerebral hemorrhages: a survey of computed tomographic findings after 1074 intracranial operations. , 1985, Surgical neurology.

[16]  S. Shimosaka,et al.  Intracerebral hemorrhage remote from the site of the initial neurosurgical procedure. , 1983, Neurosurgery.

[17]  J. Markham.  The clinical features of pneumocephalus based upon a survey of 284 cases with report of 11 additional cases , 1967, Acta neurochirurgica.