• J Clin Neurosci · Dec 2007

    Case Reports

    Hypertensive intracerebral hematoma after aneurysmal subarachnoid hemorrhage.

    • Guen Young Lee, Soo Mee Lim, and Yookyung Kim.
    • Department of Diagnostic Radiology, College of Medicine, Ewha Womans University MokDong Hospital, Seoul, 158-710 Korea.
    • J Clin Neurosci. 2007 Dec 1;14(12):1233-5.

    AbstractWe report a patient with sequential intracerebral hematoma in bilateral basal ganglia after an aneurysmal subarachnoid hemorrhage. A 55-year-old woman presented with sudden loss of consciousness without a past history of hypertension. Subarachnoid hemorrhage secondary to a ruptured anterior communicating artery aneurysm was seen on initial CT and an intracerebral hematoma was observed in both basal ganglia 3 hours later on a follow-up CT scan. We suggest that delayed intracerebral hematoma may occur due to increased intracranial pressure caused by aneurysmal rupture and discuss the possible mechanisms of this occurrence.

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