Abstract
An unusual case of traumatic subarachnoid hemorrhage (SAH) due to rupture of the intracranial vertebral artery is reported. A drunk 51-year-old man received blows with a fist to the face and lost consciousness. A massive basal SAH was identified by CT-scan. Autopsy revealed a rupture of the vertebral artery but no skull fracture or cerebral contusion.
References
McLean JM, Wright RM, Henderson JP, Lister JR (1985) Vertebral artery rupture associated with closed head injury. Report of two cases. J Neurosurg 62:135–138
Miyazaki T, Kojima T, Ito H (1990) Traumatic rupture of intracranial vertebral artery due to hyperextension of the head: Reports on three cases. Forensic Sci Int 47:91–98
Contostovlos DL (1971) Massive subarachnoid hemorrhage due to laceration of the vertebral artery associated with fracture of the transverse process of the atlas. J Forensic Sci 16:40–56
Cameron J, Mant K (1972) Fatal subarachnoid hemorrhage associated with cervical trauma. Med Sci Law 12:66–70
Deck JHN, Jagadha V (1986) Fatal subarachnoid hemorrhage due to traumatic rupture of the vertebral artery. Arch Pathol Lab Med 110:489–493
Karhunen PJ, Kauppila R, Penttila A, Erkinjuntti T (1990) Vertebral artery rupture in traumatic subarachnoid hemorrhage detected by postmortem angiography. Forensic Sci Int 44:107–115
Mant AK (1972) Traumatic subarachnoid hemorrhage following blows to the neck. J Forensic Sci 12:567–572
Sahs AL, Perret GE, Locksley HB, Nishioka H (1969) Intracranial aneurysms and subarachnoid hemorrhage: a cooperative study. Lippincott, Philadelphia
Simonsen J (1976) Massive subarachnoid hemorrhages and fracture of the transverse process of the atlas. Med Sci Law 16:13–16
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Takahara, T., Terai, C., Okada, Y. et al. Fatal traumatic subarachnoid hemorrhage due to rupture of the vertebral artery. Intensive Care Med 19, 172–173 (1993). https://doi.org/10.1007/BF01720535
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01720535