2003
DOI: 10.3171/foc.2003.15.4.4
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Intracerebral hematoma from aneurysm rupture

Abstract: Object Patients who present with an intraparenchymal hematoma associated with a ruptured aneurysm usually require urgent clot evacuation and aneurysm obliteration. The impact of the presence of hematoma on outcome has been poorly characterized. The authors report on 460 patients who had dense subarachnoid hemorrhage (SAH) (Fisher Grades 3 and 4) with and without associated hematoma. Methods Of the 959 co… Show more

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Cited by 64 publications
(45 citation statements)
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“…Intraparenchymal hematomas can occur, being more common with middle cerebral artery 2 and rare with posterior fossa aneurysms 3 , where intraventricular bleeding without parenchymal haemorrhage is the usual pattern 4 . The presence of intraparenchymal brainstem hematomas is not common and has not been described in a patient with a good clinical grade.…”
Section: Discussionmentioning
confidence: 99%
“…Intraparenchymal hematomas can occur, being more common with middle cerebral artery 2 and rare with posterior fossa aneurysms 3 , where intraventricular bleeding without parenchymal haemorrhage is the usual pattern 4 . The presence of intraparenchymal brainstem hematomas is not common and has not been described in a patient with a good clinical grade.…”
Section: Discussionmentioning
confidence: 99%
“…Certain authors prefer to use endovascular coiling, since it is considered to present several advantages, including less trauma and shorter preoperative preparation or operative time when compared to general surgery (17). However, this procedure is generally ineffective or even aggravating for removing the intracranial hematoma and resolving the vasospasm (24,25). Prat and Galeano (26) reported 12 cases of mild cerebral artery aneurysm with intracerebral hematoma who demonstrated good outcomes following early surgery.…”
Section: A B C D Ementioning
confidence: 99%
“…The presence of an ICH from a ruptured aneurysm is known to be a negative prognostic factor and is associated with high mortality rates [3,8]. The most common location of aneurysm accompanying ICH is the middle cerebral artery (MCA) [1,2]. It has been generally accepted that the standard treatment of ruptured aneurysms with ICH should be surgical clipping with simultaneous ICH evacuation, although the mortality rates have been shown to be high with a reported range of 21 to 85% [8][9][10][11].…”
Section: Introductionmentioning
confidence: 99%