Elsevier

Surgical Neurology

Volume 44, Issue 3, September 1995, Pages 275-278
Surgical Neurology

Subarachnoid and intraventricular hemorrhage caused by hypernephroma metastasis, accompanied by innocent bilateral posterior communicating artery aneurysms

https://doi.org/10.1016/0090-3019(95)00170-0Get rights and content

Abstract

We present a case of subarachnoid and intraventricular hemorrhage due to an infratentorial metastasis of a renal cell carcinoma. The lesion was not apparent on initial magnetic resonance imaging (MRI) or in a follow-up examination (MRI and angiography) 6 weeks after the bleeding. The innocent bilateral posterior communicating artery aneurysms detected by cerebral angiography were treated surgically. The origin of the hemorrhage, however, remained unclear. Five months later, a surgically proven metastasis in the fourth ventricle subsequently gave the explanation for the bleeding.

References (19)

  • A Ferbert et al.

    Non-traumatic subarachnoid hemorrhage with normal angiogram. Long-term follow-up and CT predictors of complications

    J Neurol Sciences

    (1992)
  • M Alexander et al.

    Spontaneous SAH and negative cerebral panangiography

    J Neurosurg

    (1986)
  • GC Andrioli et al.

    Subarachnoid hemorrhage of unknown etiology

    Acta Neurochir (Wien)

    (1979)
  • O Eskesen et al.

    The prognosis in subarachnoid hemorrhage of unknown etiology

    J Neurosurg

    (1984)
  • W Gildersleeve et al.

    Metastatic tumor presenting as intracerebral hemorrhage

    Radiology

    (1977)
  • S Giombini et al.

    SAH of unknown cause

    Neurosurgery

    (1988)
  • B Glass et al.

    Subarachnoid hemorrhage consequent to intracranial tumors. Review of literature and report of seven cases

    Arch Neurol Psychiatry

    (1955)
  • J Handa et al.

    Association of brain tumor and intracranial aneurysms

    Surg Neurol

    (1976)
  • R Juul et al.

    Prognosis in subarachnoid hemorrhage of unknown etiology

    J Neurosurg

    (1986)
There are more references available in the full text version of this article.

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