Rupture of anterior communicating artery aneurysms during computed tomography angiography: description of the pathway for intraseptal and intraventricular hemorrhage.
SCHOLTES, Félix; Signorelli, Francesco; Bojanowski, Michel W.
2011 • In Journal of Neurosurgery, 115 (3), p. 617-20
[en] Intraventricular hemorrhage is common after the rupture of anterior communicating artery (ACoA) aneurysms, although the anatomical pathway has not been described. Knowledge of the mechanism of hemorrhage may enhance understanding of its prognosis. Using CT angiography, the authors analyzed this pathway in 2 cases of ACoA aneurysm rupture associated with intraventricular hemorrhage. The initial hemorrhages created a hyperdense ventriculographic image on which the subsequent contrast medium ejection could be followed. The contrast medium entered the subarachnoid space of the anterior interhemispheric fissure and broke through the lamina rostralis into the septum pellucidum and into the frontal horns of the lateral ventricles. Thus, the authors provide an explanation for bleeding from ACoA aneurysms into the ventricular system in the presence of an intact lamina terminalis. The septum pellucidum may act as a buffer before extension of the bleeding into the ventricular system.
Disciplines :
Neurology
Author, co-author :
SCHOLTES, Félix ; Centre Hospitalier Universitaire de Liège - CHU > Neurochirurgie
Signorelli, Francesco
Bojanowski, Michel W.
Language :
English
Title :
Rupture of anterior communicating artery aneurysms during computed tomography angiography: description of the pathway for intraseptal and intraventricular hemorrhage.
Publication date :
2011
Journal title :
Journal of Neurosurgery
ISSN :
0022-3085
eISSN :
1933-0693
Publisher :
American Association of Neurological Surgeons, United States - Illinois
Abbie A.A.: The origin of the corpus callosum and the fate of the structures related to it. J Comp Neurol 70:9-44, 1939
Claassen J., Bernardini G.L., Kreiter K., Bates J., Du Y.E., Copeland D., et al: Effect of cisternal and ventricular blood on risk of delayed cerebral ischemia after subarachnoid hemorrhage: The Fisher scale revisited. Stroke 32:2012-2020, 2001 (Pubitemid 32868089)
Donauer E., Reif J., al-Khalaf B., Mengedoht E.F., Faubert C.: Intraventricular haemorrhage caused by aneurysms and angiomas. Acta Neurochir (Wien) 122:23-31, 1993 (Pubitemid 23184320)
Graeb D.A., Robertson W.D., Lapointe J.S., Nugent R.A., Harrison P.B.: Computed tomographic diagnosis of intraventricular hemorrhage. Etiology and prognosis. Radiology 143:91-96, 1982 (Pubitemid 12142181)
Hans G.A., Senard M., Ledoux D., Grayet B., Scholtes F., Creemers E., et al: Cerebral subarachnoid blood migration consecutive to a lumbar haematoma after spinal anaesthesia. Acta Anaesthesiol Scand 52:1021-1023, 2008 (Pubitemid 351951762)
Hashiguchi A., Mimata C., Ichimura H., Morioka M., Kuratsu J.: Rebleeding of ruptured cerebral aneurysms during three-dimensional computed tomographic angiography: Report of two cases and literature review. Neurosurg Rev 30:151-154, 2007 (Pubitemid 46393018)
Hayashi M., Handa Y., Kobayashi H., Kawano H., Nozaki J., Noguchi Y.: Prognosis of intraventricular hemorrhage due to rupture of intracranial aneurysm. Zentralbl Neurochir 50:132-137, 1989 (Pubitemid 20260385)
Hewitt W.: The development of the human corpus callosum. J Anat 96:355-358, 1962
Kier E.L., Truwit C.L.: The lamina rostralis: Modification of concepts concerning the anatomy, embryology, and MR appearance of the rostrum of the corpus callosum. AJNR Am J Neuroradiol 18:715-722, 1997 (Pubitemid 27175970)
Mayfrank L., Hütter B.O., Kohorst Y., Kreitschmann-Andermahr I., Rohde V., Thron A., et al: Influence of intraventricular hemorrhage on outcome after rupture of intracranial aneurysm. Neurosurg Rev 24:185-191, 2001 (Pubitemid 34003133)
Mohr G., Ferguson G., Khan M., Malloy D., Watts R., Benoit B., et al: Intraventricular hemorrhage from ruptured aneurysm. Retrospective analysis of 91 cases. J Neurosurg 58:482-487, 1983 (Pubitemid 13121078)
Nakada M., Akaike S., Futami K.: Rupture of an aneurysm during three-dimensional computerized tomography angiography. J Neurosurg 93:900, 2000 (Pubitemid 32803422)
Rakic P., Yakovlev P.I.: Development of the corpus callosum and cavum septi in man. J Comp Neurol 132:45-72, 1968
Raybaud C., Girard N.: Malformations of the telencephalic commissures. Callosal agenesies and related disorders, in Tortori-Donati P, Rossi A, Biancheri R (eds): Pediatric Neuroradiology: Brain. Berlin/Heidelberg: Springer-Verlag, 2005, pp 41-69
Roos Y.B., De Haan R.J., Beenen L.F., Groen R.J., Albrecht K.W., Vermeulen M.: Complications and outcome in patients with aneurysmal subarachnoid haemorrhage: A prospective hospital based cohort study in the Netherlands. J Neurol Neurosurg Psychiatry 68:337-341, 2000 (Pubitemid 30248708)
Rosen D.S., Macdonald R.L., Huo D., Goldenberg F.D., Novakovic R.L., Frank J.I., et al: Intraventricular hemorrhage from ruptured aneurysm: Clinical characteristics, complications, and outcomes in a large, prospective, multicenter study population. J Neurosurg 107:261-265, 2007 (Pubitemid 47219367)
Ryu C.W., Kim S.J., Lee D.H., Suh D.C., Kwun B.D.: Extravasation of intracranial aneurysm during computed tomography angiography: Mimicking a blood vessel. J Comput Assist Tomogr 29:677-679, 2005 (Pubitemid 41395785)
Thompson I.M.: On the cavum septi pellucidi. J Anat 67:59-77, 1932
Yanaka K., Meguro K., Narushima K., Takano S., Doi M., Nose T.: Basal perforating artery aneurysm within the cavum septi pellucidi. Case report. J Neurosurg 88:601-604, 1998 (Pubitemid 28114740)
Yaşargil M.G.: Pathological considerations, in Microneurosurgery, Vol I: Microsurgical Anatomy of the Basal Cisterns and Vessels of the Brain, Diagnostic Studies, General Operative Techniques and Pathological Considerations of the Intracranial Aneurysms. Stuttgart/New York: Georg Thieme Verlag, 1984, p 342