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Two cases of ruptured cerebral aneurysms presenting with contralateral hematomas

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Abstract

We present two cases of hematoma contralateral to the aneurysm. Case 1 is a 62-year-old woman presenting with a large left frontal intraparenchymal hematoma (IPH) and a right posterior communicating artery (PCoA) aneurysm. This is the first reported case of a contralateral frontal IPH from PCoA aneurysm rupture. Case 2 is a 58-year-old male with right PCoA aneurysm and left sylvian SAH. Both patients underwent coil embolization of offending lesions, with repeat angiograms revealing no other vascular anomalies.

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Fig. 1
Fig. 2

Abbreviations

yo:

year old

IPH:

intraparenchymal hematoma

PCoA:

posterior communicating artery

SAH:

subarachnoid hemorrhage

ICA:

internal cerebral artery

MCA:

middle cerebral artery

ACA:

anterior cerebral artery

CT:

computed tomography

3D DSA:

three-dimensional reconstructed digital subtraction angiogram

CTA:

computed tomography angiogram

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Conflict of interest

All authors declare they have no conflict of interest.

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Authors and Affiliations

  1. Department of Neurosurgery, Interventional Neuroradiology Section, Louisiana State University Health Sciences Center, PO Box 33932, Shreveport, LA, 71130-3932, USA

    Prashant Chittiboina, Hugo Cuellar & Anil Nanda

  2. Department of Interventional Neuroradiology, Hospital General Universitario de Alicante, Alicante, Spain, 03010

    Federico Ballenilla

Authors
  1. Prashant Chittiboina
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  2. Hugo Cuellar
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  3. Federico Ballenilla
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  4. Anil Nanda
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Corresponding author

Correspondence to Hugo Cuellar.

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Chittiboina, P., Cuellar, H., Ballenilla, F. et al. Two cases of ruptured cerebral aneurysms presenting with contralateral hematomas. Emerg Radiol 18, 39–42 (2011). https://doi.org/10.1007/s10140-010-0900-0

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  • DOI: https://doi.org/10.1007/s10140-010-0900-0

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