• Neurol. Med. Chir. (Tokyo) · Sep 1999

    Case Reports

    Very late-onset symptomatic cerebral vasospasm caused by a large residual aneurysmal subarachnoid hematoma--case report.

    • M Yamaguchi, T Bun, T Kuwahara, and S Kitamura.
    • Department of Neurosurgery, Numazu City Hospital, Shizuoka.
    • Neurol. Med. Chir. (Tokyo). 1999 Sep 1;39(9):677-80.

    AbstractA 70-year-old female developed delayed ischemic neurological deficits at 35 days after subarachnoid hemorrhage (Hunt and Kosnik grade III, Fisher group 4) caused by a ruptured aneurysm of the left middle cerebral artery. Angiography indicated late-onset cerebral vasospasm probably due to the mass effect of a large hematoma remaining in the sylvian fissure and an intracerebral hematoma after surgery. Patients with a large subarachnoid hematoma after subarachnoid hemorrhage should receive therapy to prevent cerebral vasospasm until the mass effect of the hematoma has diminished.

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