Giant aneurysm of anterior ethmoidal artery presenting with intracranial hemorrhage. Case report.
This forty-five-year-old woman presented with a history suggestive of an intracranial hemorrhage. Clinical examination indicated mild right pyramidal signs and neck stiffness. Computerized tomography demonstrated contrast enhancement in the region of a left frontal intraparenchymal hematoma with an adjacent subdural hematoma. Angiography revealed the presence of a giant aneurysm on the left anterior ethmoidal artery. Surgical evacuation of the hematoma with excision of the aneurysm and coagulation of the feeding artery was achieved. Postoperative recovery was uneventful. Vascular lesions of the anterior ethmoidal artery and the rarity of a giant aneurysm at this site are discussed.
Department of Neurological Sciences, Christian Medical College and Hospital, Vellore, India.
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A
Ranjan
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T
Joseph
D000783:Aneurysm / Q000000981:diagnostic imaging*; D001158:Arteries; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging*; D005005:Ethmoid Sinus / Q000098:blood supply*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed