Abstract
“Purpose” Cases of subarachnoid hemorrhage due to a ruptured cerebral aneurysm complicated by cerebral hemorrhage are often observed, however, simultaneous occurrence of a subarachnoid hemorrhage due to a ruptured cerebral aneurysm and a non-related cerebral hemorrhage, is rare. We would like to report an experience of a case of simultaneous occurrence of a subarachnoid hemorrhage due to a ruptured aneurysm of the right middle cerebral arterial branch, and a right putaminal hemorrhage. “Case” A 78-year-old woman experienced a sudden pain in the right occipital region and fell down, and was emergency transported to the hospital. During transport, JCS3, right conjugative deviation of eye, dysarthria, left upper and lower limb paresis were observed. According to head CT, a right putaminal hemorrhage and a subarachnoid hemorrhage were observed. According to CTA, brain aneurysm was observed on both sides of the middle cerebral arterial branch. However, no relation to the aneurysm of the right middle arterial branch and the right putaminal hemorrhage was observed. On the following day of hospitalization, coil embolization was performed, and on the 9th day, endoscopic hematoma removal surgery was performed. “Conclusion” Simultaneous occurrence of a subarachnoid hemorrhage due to ruptured brain aneurysm and non-related brain hemorrhage is rare, and reports of future cases are expected.
