title: [A case of ruptured true posterior communicating artery aneurysm with neurogenic pulmonary edema treated early by GDC embolization].
abstract: A case of ruptured true posterior communicating artery aneurysm with neurogenic pulmonary edema is presented. A 31-year-old male suffered the sudden onset of unconsciousness with respiratory dysfunction and pinkish foamy sputum. Computed tomography demonstrated diffuse subarachnoid hemorrhage and chest roentgenogram disclosed pulmonary edema. An emergency cerebral angiogram under controlled ventilation revealed that an aneurysm had arisen from the right posterior communicating artery itself. Subsequently GDC embolization and lumbar drainage were performed on day 0. The patient showed full recovery from pulmonary edema on day 6. He suffered multiple cerebral infarctions caused by vasospasm but he atlained a full recovery after 7 months. The follow-up angiogram showed complete obliteration of the aneurysm. This case report suggests that endovascular treatment with lumbar drainage is useful for severe aneurysmal SAH complicated with pulmonary edema in the acute stage.
authors.affiliation: Department of Neurological Surgery, Hiroshima City Hospital, 7-33 Motomachi, Naka-ku, Hiroshima 730-8518, Japan. tmeguron@hotmail.com
authors.forename: Toshinari
authors.initials: T
authors.lastname: Meguro
authors.forename: Kinya
authors.initials: K
authors.lastname: Terada
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Hirotune
authors.forename: Shigeki
authors.initials: S
authors.lastname: Nishino
authors.forename: Taku
authors.initials: T
authors.lastname: Asano
authors.forename: Taketoshi
authors.initials: T
authors.lastname: Manabe
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications / Q000628:therapy*; D004621:Embolization, Therapeutic; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000628:therapy*; D008297:Male; D011654:Pulmonary Edema / Q000209:etiology*; D012121:Respiration, Artificial; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000628:therapy*