Neurointervention.  2016 Mar;11(1):42-45. 10.5469/neuroint.2016.11.1.42.

Delayed Intracerebral Hemorrhage from a Pseudoaneurysm Following a Depressed Skull Fracture

• Nazari P
• Kasliwal M
• Wewel JT
• Dua SG
• Chen M

• KMID: 2155718
• DOI: http://doi.org/10.5469/neuroint.2016.11.1.42

Abstract

A 26-year-old male presented with delayed intracerebral hemorrhage from a ruptured distal middle cerebral artery pseudoaneurysm that followed a compound depressed skull fracture from years ago. The brain protrusion through the skull defect likely resulted in stretching and subsequent tearing of the arterial wall resulting in the pseudoaneurysm formation. No prior report of such a clinical occurrence exists in the literature. We highlight an unusual but treatable cause for intracerebral hemorrhage following surgery for traumatic brain injury.

Keyword

Middle cerebral artery; Pseudoaneurysm; Depressed skull fracture; Treatment; Delayed; Hemorrhage

MeSH Terms

Adult
Aneurysm, False*
Brain
Brain Injuries
Cerebral Hemorrhage*
Hemorrhage
Humans
Male
Middle Cerebral Artery
Skull
Skull Fracture, Depressed*
Tears