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- U Spetzger, M Mull, U Sure, and J Gilsbach.
- Department of Neurosurgery, Technical University (RWTH) Aachen, Germany.
- Surg Neurol. 1995 Sep 1;44(3):275-8.
AbstractWe present a case of subarachnoid and intraventricular hemorrhage due to an infratentorial metastasis of a renal cell carcinoma. The lesion was not apparent on initial magnetic resonance imaging (MRI) or in a follow-up examination (MRI and angiography) 6 weeks after the bleeding. The innocent bilateral posterior communicating artery aneurysms detected by cerebral angiography were treated surgically. The origin of the hemorrhage, however, remained unclear. Five months later, a surgically proven metastasis in the fourth ventricle subsequently gave the explanation for the bleeding.
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