title: Traumatic subarachnoid hemorrhage, basal ganglia hematoma and ischemic stroke caused by a torn lenticulostriate artery.
abstract: Subarachnoid hemorrhage (SAH), basal ganglia hematoma (BGH) and ischemic stroke are common diseases with diverging therapies. The simultaneous occurrence of these diseases is rare and complicates the therapy. We report the case of a 30-year-old man with a ruptured lenticulostriate artery after traumatic brain injury that caused the combination of SAH, BGH and ischemic stroke and subsequent cerebral vasospasm. This rupture mimicked the pathophysiology and imaging appearance of aneurysmal SAH. The site of rupture was not secured by any treatment; however, hyperdynamic therapy and percutaneous transluminal angioplasty were feasible in this setting to prevent additional delayed neurological deficit.
authors: Department of Neurosurgery, Bern University Hospital, Susan Wieting, Switzerland.
authors: Christian
authors: C
authors: Fung
authors: Werner J
authors: WJ
authors: Z'Graggen
authors: Jürgen
authors: J
authors: Beck
authors: Jan
authors: J
authors: Gralla
authors: Stephan M
authors: SM
authors: Jakob
authors: Philippe
authors: P
authors: Schucht
authors: Andreas
authors: A
authors: Raabe
mesh_terms: D000328:Adult; D017130:Angioplasty / Q000379:methods; D020144:Basal Ganglia Cerebrovascular Disease / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D020145:Basal Ganglia Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D016489:Head Injuries, Closed / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000473:pathology* / Q000503:physiopathology / Q000628:therapy; D008297:Male; D011859:Radiography; D020206:Subarachnoid Hemorrhage, Traumatic / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*