2005 Volume 28 Issue 2 Pages 89-92
We report a case of massive traumatic SAH associated with continuous hemorrhage, resulting in death.
A 27-year-old male was admitted to our hospital because of moderate head trauma due to traffic accident. GCS was E3V4M6. He could obey to verbal order, was well oriented and showed no paresis. CT showed massive SAH dominant in posterior fossa. The amount of clots is much more than usual traumatic SAH. MRI and MRA showed no intracranial vascular disorder. On next day, the amount of clot increased and cerebellar contusion has appeared. Hydrocephalus has progressed, but the patient was not surgically treated because he was almost alert. At midnight, after he became restless, his consciousness deteriorated into coma quickly. CT showed extremely progressed hydrocephalus, we performed ventricular drainage. He did not improve and resulted in death on the 8th day. Retrospectively, the optimal treatment option was posterior fossa decompression with exploration of the bleeding origin.
