OBJECTIVE: Well-documented case reports of the rapid formation and rupture of de novo aneurysms of the posterior circulation are rare. CLINICAL PRESENTATION: We report a patient with subarachnoid hemorrhage caused by an aneurysm of the anterior communicating artery that was clipped consecutively. Forty-four days after the initial subarachnoid hemorrhage, the patient experienced a second subarachnoid hemorrhage after the rupture of a newly grown aneurysm of the basilar tip. Between the two hemorrhages, transcranial Doppler sonography and neuroimaging revealed a fulminant generalized vasospasm. INTERVENTION: To our knowledge, this is the first report of the rapid development and rupture of a de novo aneurysm of the posterior circulation after the rupture of an initial aneurysm of the anterior circulation. CONCLUSION: We review the pertinent literature and discuss possible reasons for the development and rupture of this second aneurysm.
OBJECTIVE: Well-documented case reports of the rapid formation and rupture of de novo aneurysms of the posterior circulation are rare. CLINICAL PRESENTATION: We report a patient with subarachnoid hemorrhage caused by an aneurysm of the anterior communicating artery that was clipped consecutively. Forty-four days after the initial subarachnoid hemorrhage, the patient experienced a second subarachnoid hemorrhage after the rupture of a newly grown aneurysm of the basilar tip. Between the two hemorrhages, transcranial Doppler sonography and neuroimaging revealed a fulminant generalized vasospasm. INTERVENTION: To our knowledge, this is the first report of the rapid development and rupture of a de novo aneurysm of the posterior circulation after the rupture of an initial aneurysm of the anterior circulation. CONCLUSION: We review the pertinent literature and discuss possible reasons for the development and rupture of this second aneurysm.
Authors: Christopher S Graffeo; Omar Tanweer; Cesar Fors Nieves; H Michael Belmont; Peter M Izmirly; Tibor Becske; Paul P Huang Journal: Surg Neurol Int Date: 2015-01-20
Authors: Ahmad F Tamimi; Nosaiba T Al Ryalat; Malik E Juweid; Rahma M Doudeen; Qutada Al-Soub; Tareq M A Kanaan; Iskandar A Tamimi Journal: Am J Case Rep Date: 2021-02-08