Achmiz N.Z.1, Zyablova E.I.1,2, Porhanov V.A.1,2, Tkachev V.V.1



Рurpose. To show the possibilities of computed tomographic angiography in the diagnostic of acute non-traumatic intracranial hemorrhage

Materials and methods. A case of using computed tomography in the emergency department in an unconscious patient with acute intracranial hemorrhage.

Native computed tomography (CT) and computed tomographic angiography (CTA) of brachiocephalic vessels revealed multiple aneurysms of intracranial arteries, one of which was the source of bleeding. In addition, an intact arteriovenous malformation of the left temporal lobe was found.

Results. The obtained CT and CTA revealed a hemorrhage in the right fronto-temporal-subcortical area, the source of which was an aneurysm of the anterior communicating artery; intact aneurysm of the ophthalmic segment of the left internal carotid artery and arteriovenous malformation of the left temporal lobe.

Discussion. Computed tomographic angiography with great accuracy allows to identify the source of hemorrhage in non-traumatic subarachnoid hemorrhages.

Сonclusions. A correct diagnostic algorithm made it possible to determine the treatment tactics of the patient in the acute period and reduce the examination time.

1 Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1.

2 Kuban State Medical University. Krasnodar, Russia.

Keywords: мultiple aneurysms, arteriovenous malformation, subarachnoid hemorrhage, brachiocephalic vessels.

Corresponding author: Achmiz N.Z., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript


For citation: Achmiz N.Z., Zyablova E.I., Porhanov V.A., Tkachev V.V. Combined vascular pathology in a patient with non-traumatic subaracchnoidal hemorrhage. REJR 2022; 12(2):155-163. DOI: 10.21569/2222-7415-2022-12-2-155-163.

Received:        14.04.22 Accepted:       18.05.22