Advertisement
Journal Home
Search for

Volume 111, Issue 1, Pages 94-96 (January 2009)


View previous. 16 of 20 View next.

Actively bleeding intracranial aneurysm demonstrated by CT angiography

Sohum Desaia, Jonathan A. FriedmanabCorresponding Author Informationemail address, Joseph Hlavinb, Frederick Kashb

Received 9 March 2008; received in revised form 4 June 2008; accepted 13 July 2008.

Abstract 

CT angiography (CTA) is increasingly being utilized in the initial diagnosis of subarachnoid hemorrhage. While active bleeding from an intracranial aneurysm has been demonstrated on conventional angiography, CT angiogram findings of active aneurysmal hemorrhage are not well described. We present a case of an actively bleeding anterior communicating artery aneurysm demonstrated by CT angiography. The initial CTA demonstrated the extravasation of contrast from the anterior communicating artery. A second CT scan less than 1h later confirmed the ongoing hemorrhage, with extension of hemorrhage into the subarachnoid cisterns and the ventricular system. Recognition of active aneurismal hemorrhage by CTA may modify plan of treatment and follow-up imaging.

a Department of Surgery, Neuroscience and Experimental Therapeutics, Texas A&M Health Science Center, College of Medicine, College Station, TX, United States

b The Texas Brain and Spine Institute, Bryan-College Station, TX, United States

Corresponding Author InformationCorresponding author at: Texas Brain and Spine Institute, Texas A&M Health Science Center, College of Medicine, 3201 University Drive East, Suite 410, Bryan, TX 77802, United States. Tel.: +1 979 776 8896; fax: +1 979 774 0716.

PII: S0303-8467(08)00274-6

doi:10.1016/j.clineuro.2008.07.013


View previous. 16 of 20 View next.

Advertisement