Could infraclinoidal aneurysm cause interdural hemorrhage

Ayberk, Gıyas; Özveren, Mehmet Faik

doi:10.1007/s00701-011-0992-7

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2012

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“…[34] In contrast, other authors insisted that these hematomas were located in the pure subdural space of the posterior fossa. [111] We present our opinion and understanding of the blood location of our case and other reports as follows.…”

Section: Discussionmentioning

confidence: 99%

Subdural hematoma of the posterior fossa due to posterior communicating artery aneurysm rupture

Kim

Jung²,

Yoon³

et al. 2012

Surg Neurol Int

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Background:We describe an unusual presentation of a ruptured aneurysm of the posterior communicating artery with an acute subdural hematoma (SDH) located in the posterior fossa. We also reviewed the literature, focusing on the location of this intracranial hematoma.Case Description:An 83-year-old woman was admitted to our institution with recent sudden headache and dizziness. Magnetic resonance imaging showed a thin collection of blood in the subdural space adjacent to the clivus, along the wall of the posterior fossa, and at the cervical spine level. A right posterior communicating artery aneurysm was diagnosed using computed tomography angiography and digital subtraction angiography. The aneurysm had two lobes, one of which was attached to the right dorsum sellae. The aneurysm was occluded by stent-assisted coil embolization. The patient was discharged 3 weeks after admission with absence of neurological deficit.Conclusion:A ruptured aneurysm of the posterior communicating artery may cause an acute SDH.

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