Ruptured Supratentorial Cerebral Artery Aneurysm with Large Intracerebral Haematoma

This Element includes specific advice on the surgical procedure and how to handle complications based on our experience.

Samuel Hall (Author), Diederik Bulters (Author)

9781009424806, Cambridge University Press

Paperback / softback, published 12 December 2024

26 pages
23 x 15 x 0.2 cm, 0.64 kg

The ruptured aneurysm with an intracerebral haematoma is a commonly encountered neurosurgical emergency. The options for management of this situation have evolved with the changes in neurovascular surgery training and widespread use of endovascular techniques for aneurysm occlusion. This Element will discuss the differences between subarachnoid haemorrhage with or without an intracerebral haematoma including presentation, imaging and outcomes. The authors present their preferred surgical strategy including practical guidance on how to handle difficult situations such as the intra-operative rupture.

Typical case history
Epidemiology
History
Examination
Investigation
Intra-Sylvian v intra-parenchymal haematoma
Differential diagnosis
Management
Prognosis/ Outcomes.

Subject Areas: Accident & emergency medicine [MMK]