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Abstract

J Cerebrovasc Endovasc Neurosurg. 2019 21(1): 18-23
The Journal of Cerebrovascular and Endovascular Neurosurgery
      
 
Solitary intraventricular hemorrhage without subarachnoid hemorrhage due to aneurysmal rupture: a case report
Seung Soo Kim, Kyeong-O Go, Hyun Park, Kwangho Lee, Gyeong Hwa Ryu, Hye Jin Baek, Seunguk Jung, Chang Hyo Yoon, Young-Seop Park, Soo Hyun Hwang
Department of Neurosurgery, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, South Korea, Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam-si, South Korea, Department of Neurosurgery Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, South Korea, Department of Radiology, Gyeongsang National University School of Medicine and Gyeongsang National University Changwon Hospital, Changwon, South Korea, Department of Neurology, Gyeongsang National University

The presence of primary intraventricular hemorrhage (IVH) without vascular lesion is very rare. We experienced solitary IVH without subarachnoid hemorrhage due to aneurysmal rupture in a 58-year-old man treated with coil embolization, which contributed to his good prognosis. After 33 days of hospitalization, he had mild right hemiplegic symptoms remaining, and he was transferred to a rehabilitation institute for further treatment. In cases of primary IVH, computed tomography angiography seems worthwhile for making a differential diagnosis, although the possibility of IVH due to cerebral aneurysmal rupture is very low. Endovascular intervention is a good option for diagnosis and treatment.
 
Key words : Cerebral angiography; Intraventricular hemorrhage; Intracranial aneurysm; Endovascular procedures; Subarachnoid hemorrhage
 
 
    
 
 
 

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