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Perimesencephalic Nonaneurysmal Subarachnoid Hemorrhage After Clipping of an Unruptured Aneurysm

Authors
 Kwang-Chun Cho  ;  Jung-Jae Kim  ;  Chang-Ki Hong  ;  Jin-Yang Joo  ;  Yong Bae Kim 
Citation
 WORLD NEUROSURGERY, Vol.102 : 694.e15-694.e19, 2017 
Journal Title
WORLD NEUROSURGERY
ISSN
 1878-8750 
Issue Date
2017
MeSH
Angiography, Digital Subtraction ; Humans ; Intracranial Aneurysm/surgery* ; Male ; Middle Aged ; Postoperative Complications/etiology ; Postoperative Complications/surgery* ; Subarachnoid Hemorrhage/etiology ; Subarachnoid Hemorrhage/surgery* ; Tomography, X-Ray Computed
Keywords
PNSAH ; Perimesencephalic nonaneurysmal subarachnoid hemorrhage ; SAH
Abstract
BACKGROUND: Perimesencephalic nonaneurysmal subarachnoid hemorrhage (PNSAH) is a benign form of subarachnoid hemorrhage with an excellent clinical outcome. The cause of PNSAH remains unknown. We report a case of PNSAH in a patient with a history of clipping of an unruptured aneurysm. PNSAH after clipping of an unruptured aneurysm is extremely rare.

CASE DESCRIPTION: A 56-year-old man with a history of clipping surgery for an unruptured aneurysm 10 months previously presented with severe headache. No precipitating causes were shown; however, the patient had been engaged in an exertional activity before the event. After conservative treatment, he was discharged home without any complication from the hemorrhage.

CONCLUSIONS: On the basis of this case report, clinicians should consider the possibility of PNSAH in a patient who had an unruptured aneurysm previously treated with clipping. Nevertheless, diagnostic workup can be more important than keeping in mind that a subarachnoid hemorrhage might be a PNSAH.
Full Text
https://www.sciencedirect.com/science/article/pii/S1878875017304576
DOI
10.1016/j.wneu.2017.03.134
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yong Bae(김용배) ORCID logo https://orcid.org/0000-0003-2262-7157
Kim, Jung-Jae(김정재) ORCID logo https://orcid.org/0000-0002-4669-8577
Cho, Kwang Chun(조광천) ORCID logo https://orcid.org/0000-0002-0261-9283
Joo, Jin Yang(주진양)
Hong, Chang Ki(홍창기) ORCID logo https://orcid.org/0000-0002-2761-0373
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/165612
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