Neuroradiology

, Volume 5, Issue 4, pp 184–186 | Cite as

Intraventricular bleeding from cerebral aneurysmal rupture

  • J. A. Marc
  • M. M. Schechter
  • B. Azar-Kia
Originals

Summary

Aneurysms rupturing into the ventricles have been shown at postmortem but rarely during angiography. Factors incriminated have been the high pressure during injection, the amount of contrast material, the proximity of site of injection to the aneurysm or a combination of more than one factor. We personally think it is unrelated to any of these factors, but rather a coincidental happening. The value of early angiography and delayed films is emphasized.

Keywords

Public Health High Pressure Contrast Material Intraventricular Bleeding Aneurysmal Rupture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Hémorragie intra-ventriculaire par rupture d'un anévrisme cérébral

Résumé

Les ruptures d'anévrisme dans les ventricules ont été démontrées post-mortem et plus rarement au cours d'une angiographie. Les facteurs mis en cause sont la pression élevée durant l'injection, la quantité du produit de contraste, la proximité du point d'injection avec le siège de l'anévrisme ou l'association de plusieurs facteurs. Les auteurs pensent qu'on ne peut incriminer aucun de ces facteurs et qu'il s'agit plutôt d'une coincidence. II souligne la valeur de l'angiographie précoce et de l'étalement des films dans le temps.

Intraventrikuläre Blutung von einem rupturierten cerebralen Aneurysma

Zusammenfassung

Bei der Ruptur eines Aneurysmas während der Angiographie werden verschiedene Faktoren für diese Ruptur herangezogen. Es soll sich dabei um den hohen Injektionsdruck handeln, um die Menge des Kontrastmittels oder um Kombination von mehreren Faktoren. Die Autoren sind der Ansicht, daß es sich jedoch um ein rein zufälliges Zusammentreffen handelt.

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References

  1. 1.
    Bakey, Y., Sweet, W.H.: Cervical and intracranial intraarterial pressures with and without vascular occlusion. Surg. Gynec. Obstet. 95, 67–75 (1952).Google Scholar
  2. 2.
    Beamer, Y.B., Corsino, J.F., Lynde, R.G.: Rupture of an aneurysm of the internal carotid artery during arteriography with filling of the subarachnoid space and demonstration of a temporal lobe mass. Case report. J. Neurosurg. 31, 224–226 (1969).Google Scholar
  3. 3.
    Bebin, J., Currier, R.D.: Cause of death in ruptured intracranial aneurysms. AMA Arch. Int. Med. 99, 771–790 (1957).Google Scholar
  4. 4.
    Crompton, M.R.: Intracerebral hematoma complicating ruptured cerebral berry aneurysm. J.N.N.S. 25, 378–386 (1962).Google Scholar
  5. 5.
    Ferrari, G., Vio, M.: Radiological demonstration of rupture of a carotid aneurysm during cerebral angiography. Case report. J. Neurosurg. 31, 462–464 (1969).Google Scholar
  6. 6.
    Freemon, F.R.: Dye entering subarachnoid space through a bleeding intracranial aneurysm. J. Amer. med. Ass. 211, 295–296 (1970).Google Scholar
  7. 7.
    Gallagher, J.P., Yamamoto, Y.L.: Rupture of an intracranial aneurysm following arteriography. Case report. Bull. Georgetown Univ. Med. Cent. 9, 97–99 (1956).Google Scholar
  8. 8.
    Goldstein, S.L.: Ventricular opacification secondary to rupture of intracranial aneurysm during angiography. Case report. J. Neurosurg. 27, 265–267 (1967).Google Scholar
  9. 9.
    Hoff, J.T., Potts, D.G.: Angiographic demonstration of hemorrhage into the fourth ventricle. Case report. J. Neurosurg. 30, 732–735 (1969).Google Scholar
  10. 10.
    Jackson, J.R., Tindall, G.T., Nashbold, B.S., Jr.: Rupture of an intracranial aneurysm during carotid arteriography. A case report. J. Neurosurg. 17, 333–336 (1960).Google Scholar
  11. 11.
    Jamieson, K.G.: Rupture of an intracranial aneurysm during cerebral angiography. J. Neurosurg. 11, 625–628 (1954).Google Scholar
  12. 12.
    Jenkinson, E.L., Sugar, O., Love, H.: Rupture of an aneurysm of the internal carotid artery during cerebral angiography. Case report. Amer. J. Roentgenol. 71, 958–960 (1954).Google Scholar
  13. 13.
    Lin, J. P., Kricheff, I.I., Chase, N.E.: Blood pressure changes during retrograde brachial angiography. Radiology 83, 640–646 (1964).Google Scholar
  14. 14.
    Murphy, D.J., Goldberg, E.J.: Extravasation from an intracranial aneurysm during carotid angiography. Case report. J. Neurosurg. 27, 459–461 (1967).Google Scholar
  15. 15.
    Vines, F.S., Davis, D.O.: Rupture of intracranial aneurysm at angiography. Case report and comment on causative factor. Radiology 99, 353–354 (1971).Google Scholar

Copyright information

© Springer-Verlag 1973

Authors and Affiliations

  • J. A. Marc
    • 1
  • M. M. Schechter
    • 1
  • B. Azar-Kia
    • 1
  1. 1.The Radiology Department, Division of NeuroradiologyAlbert Einstein College of MedicineBronxUSA

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