• Johannes Walter, Andreas W Unterberg, and Klaus Zweckberger.
• Department of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
• World Neurosurg. 2018 May 1; 113: 316-319.

BackgroundApproximately 1% of all patients surviving rupture of a cerebral aneurysm suffer from a second aneurysmatic subarachnoid hemorrhage later in their lives, 61% of which are caused by rupture of a de novo aneurysm. Latency between bleedings is usually many years, and younger patients tend to achieve better outcomes from a second subarachnoid hemorrhage.Case DescriptionWe report an unusual case of lethal ultra-early rupture of a de novo aneurysm of the anterior communicating artery only 5 months after the initial subarachnoid hemorrhage and complete coiling in a young, healthy male patient.ConclusionDespite complete aneurysm obliteration, young age, and good recovery, patients may be subjected to secondary subarachnoid hemorrhages from de novo aneurysms after only a few months of the initial bleeding. Early-control magnetic resonance angiography might hence be advisable.Copyright © 2018 Elsevier Inc. All rights reserved.

17 keywords...

hide…