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. 2023 Nov;44(11):4103-4106.
doi: 10.1007/s10072-023-06987-3. Epub 2023 Aug 10.

Iatrogenic pseudoaneurysm rupture of the middle cerebral artery after an intracranial pressure monitor placement: a case report and literature review

Haibin Wang  1 , Jinming Chen  1 , Zhiqiang Gao  1 , Zhaobin Zeng  2
Affiliations

Iatrogenic pseudoaneurysm rupture of the middle cerebral artery after an intracranial pressure monitor placement: a case report and literature review

Haibin Wang et al. Neurol Sci. 2023 Nov.

Abstract

Thalamic hemorrhage (TH) is a devastating disease with a high mortality rate; however, no specific form of therapy has been proven to reduce mortality. Patients with hemorrhagic stroke undergo intracranial pressure (ICP) monitoring. However, cases involving pseudoaneurysms caused by ICP monitoring in patients with intracerebral hemorrhage have not been reported previously. Here, we report a case of pseudoaneurysm caused by an ICP monitor that was fitted due to hypertensive cerebral hemorrhage.

Keywords: Iatrogenic pseudoaneurysm; Intracranial pressure monitor; Resection; Rupture.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Neuroimaging acquired from our patient: a axial head computed tomography on initial patient presentation showing left thalamus hemorrhage, intraventricular extension, and hydrocephalus; b CT scan performed on the 6th postoperative day showing that the TH was almost eliminated; c CT scan performed on the 18th postoperative day showing a new intraparenchymal hemorrhage with 6mm of midline shift; (d, e) computed tomography angiography(CTA) showing a left distal middle cerebral artery pseudoaneurysm (red arrow); f CT scan performed on 8-h post-craniotomy showing that the hemorrhage had been evacuated completely and the bilateral ventricles had shrunk; g CT scan performed on the fourth day after the post-craniotomy showing left parietal lobe cerebral infarction
See this image and copyright information in PMC

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