Communicating hydrocephalus after intracerebral hemorrhage with ruptured aneurysm
Types of brain aneurisms:
- saccular ("berry") aneurism – can be giant
- fusiform aneurism – can be giant
- dissecting aneurism
- mycotic aneurism
Classification based on aneurisms size:
- ≤6 mm – small aneurism
- 7 to 12 mm – medium aneurism
- 13 to 24 mm – large aneurism
- ≥25 mm – giant aneurism
As a result of rupture of the aneurysm of cerebral arteries in patients with communicating hydrocephalus can be formed. This type of hydrocephalus may occur within the first 3 weeks after intracerebral hemorrhage.
For the diagnosis of communicating hydrocephalus after intracerebral hemorrhage in a patient using magnetic resonance (MRI) or computed tomography (CT) of the brain. Communicating (open) hydrocephalus is accompanied by the extension of the lateral, III and IV ventricles of the brain. Develop to predict whether the patient Communicating (open) hydrocephalus after intracerebral hemorrhage due to rupture of the aneurysm and how it will be pronounced impossible. The accumulation of significant amounts of streamed blood in the subarachnoid space in the region of the bypass and suprasellar tanks can be a symptom of the formation in this patient in the future of communicating hydrocephalus.
Communicating hydrocephalus after rupture of the aneurysm and cerebral artery may not manifest neurological symptoms in patients. In the future these patients may depression of consciousness to deep stupor, growing within minutes or hours.
Early stage of mild to moderate communicating hydrocephalus has the following neurological symptoms:
- slight drowsiness
- urinary incontinence
- inability to transfer gaze up from the average position of the eyeballs
Communicating hydrocephalus after rupture of the aneurysm may eventually disappear. In this case, the patient neurosurgical intervention may be required. With a significant growth of the patient with intracerebral hemorrhage of pathological neurological symptoms, you may want to drainage or shunting ventricle.During catheterization of the lateral ventricle of the brain is necessary to know precisely the particular location of the ruptured aneurysm.