title: Delayed Intracerebral Hemorrhage from a Pseudoaneurysm Following a Depressed Skull Fracture.
abstract: A 26-year-old male presented with delayed intracerebral hemorrhage from a ruptured distal middle cerebral artery pseudoaneurysm that followed a compound depressed skull fracture from years ago. The brain protrusion through the skull defect likely resulted in stretching and subsequent tearing of the arterial wall resulting in the pseudoaneurysm formation. No prior report of such a clinical occurrence exists in the literature. We highlight an unusual but treatable cause for intracerebral hemorrhage following surgery for traumatic brain injury.
authors.affiliation: Department of Neurosurgery, RUSH University Medical Center, Chicago, IL-60612, USA.
authors.forename: Pouya
authors.initials: P
authors.lastname: Nazari
authors.affiliation: Department of Neurosurgery, RUSH University Medical Center, Chicago, IL-60612, USA.
authors.forename: Manish K
authors.initials: MK
authors.lastname: Kasliwal
authors.affiliation: Department of Neurosurgery, RUSH University Medical Center, Chicago, IL-60612, USA.
authors.forename: Joshua T
authors.initials: JT
authors.lastname: Wewel
authors.affiliation: Department of Radiology, RUSH University Medical Center, Chicago, IL-60612, USA.
authors.forename: Sumeet G
authors.initials: SG
authors.lastname: Dua
authors.affiliation: Department of Neurosurgery, RUSH University Medical Center, Chicago, IL-60612, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Chen
keywords: Delayed; Depressed skull fracture; Hemorrhage; Middle cerebral artery; Pseudoaneurysm; Treatment