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KMID : 1005420130150040311
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Journal of Cerebrovascular and Endovascular Neurosurgery
2013 Volume.15 No. 4 p.311 ~ p.315
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Communicating Hydrocephalus Accompanied by Arachnoid Cyst in Aneurismal Subarachnoid Hemorrhage
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Choi Jae-Young
Cha Seung-Heon
Cho Won-Ho
Ko Jun-Kyeung
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Abstract
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The authors describe a case of communicating hydrocephalus accompanied by an arachnoid cyst in an aneurismal subarachnoid hemorrhage. A 69-year-old female was referred to our clinic due to the sudden onset of a headache. A head computed tomography scan demonstrated an arachnoid cyst in the right middle fossa with a mass effect and diffuse subarachnoid hemorrhage. Digital subtraction angiography then revealed a left internal carotid-posterior communicating artery aneurysm. The neck of the aneurysm was clipped successfully and the post-operative period was uneventful. However, two months after discharge, the patient reported that her mental status had declined over previous weeks. A cranial computed tomography scan revealed an interval increase in the size of the ventricle and arachnoid cyst causing a midline shift. Simultaneous navigation guided ventriculoperitoneal shunt and cystoperitoneal shunt placement resulted in remarkable radiological and clinical improvements.
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KEYWORD
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Arachnoid cyst, Cerebral aneurysm, Hydrocephalus, Shunt, Subarachnoid hemorrhage
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