title: Subarachnoid haemorrhage following rupture of an ophthalmic artery aneurysm presenting as traumatic brain injury.
abstract: Head trauma may provoke subarachnoid haemorrhage. The question sometimes arises whether in patients with trauma and subarachnoid haemorrhage the latter is of traumatic or aneurysmal origin. We present a 49-year-old patient who fell from a truck, struck his head and was unconscious immediately. On the brain computed tomography (CT) scan subarachnoid haemorrhage was present, initially diagnosed as of traumatic origin. Four-vessel angiography revealed rupture of a left ophthalmic artery aneurysm. We review the literature and give recommendations for angiography in patients with trauma and subarachnoid haemorrhage.
authors.affiliation: Department of Neurology, University Hospital Nijmegen, Reinier Postlaan 4, 6500 HB, Nijmegen, The Netherlands. p.vos@czzoneu.axn.nl
authors.forename: P E
authors.initials: PE
authors.lastname: Vos
authors.forename: M
authors.initials: M
authors.lastname: Zwienenberg
authors.forename: K L
authors.initials: KL
authors.lastname: O'Hannian
authors.forename: J P
authors.initials: JP
authors.lastname: Muizelaar
mesh_terms: D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D001930:Brain Injuries / Q000175:diagnosis*; D002533:Cerebral Angiography / Q000379:methods; D003937:Diagnosis, Differential; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009880:Ophthalmic Artery / Q000000981:diagnostic imaging*; D012421:Rupture / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology*; D014057:Tomography, X-Ray Computed