Delayed haemorrhage in the splenium of the corpus callosum after aneurysm rupture

AbstractBackground and object. Delayed haemorrhage in the splenium of the corpus callosum after aneurysm rupture is a rare finding. It can be defined as a haemorrhage not present at the initial diagnosis of subarachnoid bleeding, in the context of an aneurysm not located in the corpus callosum vascularization. Only three such cases have been reported, all with focal and circumscribed haematomas. We describe a case of diffuse haemorrhage along the splenium fibres. Patient. A 75-year-old woman was attended for an acute cognitive deterioration. Imaging studies revealed an aneurysm in the anterior communicating artery, and subacute haematomas in both frontal lobes. An uneventful surgical clipping of the aneurysm was performed. Postoperative CT-scans showed a haemorrhage along the splenium fibres, and hydrocephalus. A ventriculoperitoneal shunt was placed, and subsequent CT scans demonstrated progressive, spontaneous improvement of the splenium haemorrhage. Conclusions. Delayed haemorrhage in the splenium of t...