Pure Acute-on-Chronic Subdural Hematoma Due to Ruptured Posterior Communicating Artery Aneurysm: Unsuspecting Entity

Thapa, Amit; Kc, Bidur; Shakya, Bikram

doi:10.1016/j.wneu.2018.03.211

Cited by 6 publications

(4 citation statements)

References 12 publications

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“…However, it is rarely observed in cases of ruptured intracranial aneurysms. As reported in a previously published case, a subdural hematoma usually occurs because of a ruptured aneurysm in a major intracranial artery of the vertebrobasilar or carotid systems [5].…”

Section: Discussionmentioning

confidence: 57%

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A ruptured posterior communicating artery aneurysm presenting as tentorial and spinal isolated subdural hemorrhage: a case report and literature review

et al. 2020

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Background: Ruptured intracranial aneurysms are often associated with subarachnoid or intraparenchymal hemorrhage. However, the prevalence of subdural hemorrhage post aneurysmal rupture is low and rarely reported in scientific studies. Here, we report an unusual case of a ruptured posterior communicating artery aneurysm resulting in an isolated subdural hematoma located in the tentorial and spinal canal without subarachnoid or intraparenchymal hemorrhage. Case presentation: In this case, a 34-year-old woman with no history of trauma or coagulopathy was diagnosed with a subdural hematoma in the tentorium cerebellum tracing to the subdural space of the spinal column. Computed tomography angiography was used to identify the source of the bleeding, which revealed a ruptured left-sided posterior communicating artery saccular aneurysm. The aneurysm was clipped, and the hematoma was evacuated. The patient recovered without any neurological complications. Conclusions: Our results suggest that a diagnosis of ruptured intracranial aneurysm should be considered in patients with nontraumatic subdural hematoma. Prompt diagnostic imaging and interventional diagnostic procedures are required to ensure proper management of these patients and to avoid unnecessary complications.

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Section: Discussionmentioning

confidence: 57%

“…Other invasive diagnostic modalities, such as digital subtraction angiography (DSA), remain the gold standard for the assessment of the aneurysmal sac. Collectively, these invasive modalities have a superior role, as compared to the non-invasive modalities, in helping physicians determine an appropriate patient management strategy [4,5].…”

Section: Introductionmentioning

confidence: 99%

A ruptured posterior communicating artery aneurysm presenting as tentorial and spinal isolated subdural hemorrhage: a case report and literature review

et al. 2020

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“…Thapa et al. [4] described a case of pure acute-on-chronic SDH due to ruptured posterior communicating artery aneurysm. Moreover, Kim et al.…”

Section: Discussionmentioning

confidence: 99%

A case of subdural hemorrhage due to ruptured cerebral aneurysm presenting with atypical imaging features

Tsukagoshi

Sato

Kohyama

2021

Radiology Case Reports

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Acute subdural hemorrhage caused by ruptured cerebral aneurysms is rare. Herein, we report an atypical case of subdural hemorrhage caused by ruptured anterior communicating artery aneurysm in a 49-year-old woman. Computed tomography revealed subarachnoid, intracerebral, and subdural hemorrhages. After the treatment with endovascular coiling significantly decreased the patient's subdural hemorrhage. However, the subdural hemorrhage revealed and became iso-attenuation compared with the white matter on the 11th day, and hypo-attenuation on the 19th day. On the 33rd day, this subdural hemorrhage completely resolved after discontinuation of dual antiplatelet therapy. Due to rapid changes in the radiologic features of SDH, frequent computed tomography scans at least once a week may be needed especially in patients who receive antiplatelet therapy during the vasospasm phase.

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“…Spontaneous ASH is often associated with ICH and/or SAH on head CT, though there are rare reported cases of “pure spontaneous ASH” where it can present in the absence of these signs. 7 8…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Acute Subdural Hematoma: Beware of the Aneurysm

Beucler

Haikal

Hibbert

et al. 2019

Journal of Neurosciences in Rural Practice

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Pure Acute-on-Chronic Subdural Hematoma Due to Ruptured Posterior Communicating Artery Aneurysm: Unsuspecting Entity

Cited by 6 publications

References 12 publications

A ruptured posterior communicating artery aneurysm presenting as tentorial and spinal isolated subdural hemorrhage: a case report and literature review

A ruptured posterior communicating artery aneurysm presenting as tentorial and spinal isolated subdural hemorrhage: a case report and literature review

A case of subdural hemorrhage due to ruptured cerebral aneurysm presenting with atypical imaging features

Spontaneous Acute Subdural Hematoma: Beware of the Aneurysm

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