Acute subdural haematoma due to ruptured intracranial aneurysms
- 24 April 2004
- journal article
- case report
- Published by Springer Science and Business Media LLC in Neurosurgical Review
- Vol. 27 (4), 259-262
- https://doi.org/10.1007/s10143-004-0333-x
Abstract
Acute spontaneous subdural haematoma (SDH) is rarely associated with rupture of intracranial saccular aneurysm. We report our experience with four cases of non-traumatic SDHs secondary to rupture of an intracranial aneurysm and discuss the diagnosis and management of this condition. We retrospectively reviewed of four cases of acute SDH due to cerebral aneurysm rupture confirmed by cerebral angiography and surgery. Patients were evaluated using the Glasgow Coma Scale (GCS) and subarachnoid grade of the World Federation of Neurosurgical Societies (WFNS) and outcome with the Glasgow Outcome Scale (GOS). Of the 232 patients with non-traumatic subarachnoid haemorrhage (SAH) treated between 1993 and 2002, only four patients (1.72%) presented SDH due to aneurysmal rupture. The SAH grade on admission was grade IV in one patient and V in the other three. In all cases the aneurysm was located in the posterior communicating artery. Spontaneous acute SDH secondary to aneurysm rupture has been rarely reported. We suggested that timely SDH removal and aneurysmal clipping surgery should be performed in such patients, including those in poor neurological condition.Keywords
This publication has 17 references indexed in Scilit:
- Acute subdural hematoma caused by ruptured cerebral aneurysms: diagnostic and therapeutic pitfallsResuscitation, 2002
- Pure acute subdural haematoma without subarachnoid haemorrhage caused by rupture of internal carotid artery aneurysm.Acta Neurochirurgica, 2000
- Cocaine-Related Acute Subdural Hematoma: An Emergent Cause of Cerebrovascular AccidentActa Neurochirurgica, 2000
- Spontaneous Acute Subdural Hematomas. A Clinical Comparison with Traumatic Acute Subdural Hematomas.Acta Neurochirurgica, 2000
- Acute subdural haematoma secondary to ruptured intracranial aneurysm: Diagnosis and managementBritish Journal of Neurosurgery, 1994
- Anterior communicating artery aneurysm rupture: An unusual cause of acute subdural hemorrhageSurgical Neurology, 1993
- Acute Spontaneous Subdural Haematoma of Arterial OriginBritish Journal of Neurosurgery, 1989
- Acute subdural hematoma from ruptured posterior communicating artery aneurysmNeurosurgery, 1988
- Subdural Hematomas of Arterial OriginNeurosurgery, 1981
- Intracranial Aneurysm as a Cause of Subdural Hematoma of the Posterior FossaJournal of Neurosurgery, 1965