{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T09:55:55Z","timestamp":1788947755117,"version":"build-2803163510"},"reference-count":8,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:p>The authors report the rare case of a 58-year-old man with segmental arterial mediolysis (SAM) with associated intracranial and intraabdominal aneurysms, who suffered subarachnoid hemorrhage (SAH) due to rupture of an intracranial aneurysm. This disease primarily involves the intraabdominal arterial system, resulting in intraabdominal and retroperitoneal hemorrhage in most cases. The patient presented with severe headache and vomiting. The CT scans of the head revealed SAH. Cerebral angiography revealed 3 aneurysms: 1 in the right distal anterior cerebral artery (ACA), 1 in the distal portion of the A<jats:sub>1<\/jats:sub> segment of the right ACA, and 1 in the left vertebral artery. The patient had a history of multiple intraabdominal aneurysms involving the splenic, gastroepiploic, gastroduodenal, and bilateral renal arteries. He underwent a right frontotemporal craniotomy and fibrin coating of the dissecting aneurysm in the distal portion of the A<jats:sub>1<\/jats:sub> segment of the right ACA, which was the cause of the hemorrhage. Follow-up revealed no significant changes in the residual intracranial and intraabdominal aneurysms. An SAH due to SAM with associated multiple intraabdominal aneurysms is extremely rare. The authors describe their particular case and review the literature pertaining to SAM with associated intracranial and intraabdominal aneurysms.<\/jats:p>","DOI":"10.3171\/2012.1.jns111967","type":"journal-article","created":{"date-parts":[[2012,3,5]],"date-time":"2012-03-05T07:31:03Z","timestamp":1330932663000},"page":"948-951","source":"Crossref","is-referenced-by-count":18,"title":["Subarachnoid hemorrhage in a case of segmental arterial mediolysis with coexisting intracranial and intraabdominal aneurysms"],"prefix":"10.3171","volume":"116","author":[{"given":"Ryosuke","family":"Matsuda","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuo","family":"Hironaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Takeshima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young-Su","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Nakase","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns111967","series-title":"Cardiovasc Intervent Radiol","first-page":"601","article-title":"Radiological findings and endovascular management of three cases with segmental arterial mediolysis","volume":"33","author":"Davran","year":"2010"},{"key":"b2-jns111967","series-title":"Surg Today","first-page":"144","article-title":"Middle-colic artery aneurysm associated with segmental arterial mediolysis, successfully managed by transcatheter arterial embolization: report of a case","volume":"39","author":"Hirokawa","year":"2009"},{"key":"b3-jns111967","series-title":"Pathol Res Pract","first-page":"771","article-title":"Segmental arterial mediolysis: unrecognized cases culled from cases of ruptured aneurysm of abdominal visceral arteries reported in the Japanese literature","volume":"203","author":"Inada","year":"2007"},{"key":"b4-jns111967","series-title":"Surg Today","first-page":"55","article-title":"Reconstructive surgery for a fusiform common celiomesenteric trunk aneurysm and coexistent abdominal aortic aneurysm: report of a case","volume":"39","author":"Obara","year":"2009"},{"key":"b5-jns111967","series-title":"Cardiovasc Pathol","first-page":"248","article-title":"Segmental arterial mediolysis of varying phases affecting both the intraabdominal and intracranial vertebral arteries: an autopsy case report","volume":"19","author":"Ro","year":"2010"},{"key":"b6-jns111967","series-title":"Br J Radiol","first-page":"656","article-title":"Segmental arterial mediolysis studied by repeated angiography","volume":"70","author":"Sakano","year":"1997"},{"key":"b7-jns111967","series-title":"Pathol Res Pract","first-page":"493","article-title":"A case of segmental mediolytic arteriopathy involving both intracranial and intraabdominal arteries","volume":"198","author":"Sakata","year":"2002"},{"key":"b8-jns111967","series-title":"Lab Invest","first-page":"23","article-title":"Segmental mediolytic arteritis: a clinical pathologic study","volume":"35","author":"Slavin","year":"1976"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/116\/5\/article-p948.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/116\/5\/article-p948.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/116\/5\/article-p948.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T01:12:55Z","timestamp":1679879575000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/116\/5\/article-p948.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2012,5]]},"references-count":8,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2012.1.jns111967","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5]]}}}