Fatal Subarachnoid Hemorrhage in a Deep Brain Stimulation Patient: Displacement of Stimulation Leads for Deep Brain Stimulation Indicate Subarachnoid Hemorrhage on X-ray.
Gregor A BaraValeri BorgerJaroslaw MaciaczykPublished in: Diagnostics (Basel, Switzerland) (2024)
We depict the rare case of a patient with aneurysmatic subarachnoid hemorrhage previously treated with deep brain stimulation for Parkinson's disease. Initial CT scans showed a Fisher grade 4 subarachnoid hemorrhage with lead displacement due to midline-shift. CT angiogram revealed a supra-ophthalmic aneurysm of the internal carotid artery. The patient subsequently underwent clipping of the aneurysm and decompressive hemicraniecomy.
Keyphrases
- subarachnoid hemorrhage
- deep brain stimulation
- parkinson disease
- brain injury
- obsessive compulsive disorder
- cerebral ischemia
- dual energy
- internal carotid artery
- computed tomography
- rare case
- case report
- coronary artery
- contrast enhanced
- image quality
- high resolution
- positron emission tomography
- middle cerebral artery
- mass spectrometry