Spontaneous Acute Subdural Hematoma: Beware of the Aneurysm

Abstract

Spontaneous acute subdural hematoma should raise clinical suspicion for underlying pathology, the most common etiology being a ruptured aneurysm. Through this case report, our team developed a clinical decision-making tool to help physicians decide when it is necessary to order an acute subdural hematoma to assess for ruptured aneurysm.

Acute subdural hematoma during sexual intercourse due to an aneurysm rupture on posterior communicating artery: a case report

“…Spontaneous aSDH is a rare manifestation of aneurysmal rupture. However, aneurysmal rupture remains a major cause of spontaneous aSDH [13] . Therefore, it is necessary to consider the possibility of aneurysm rupture in people with aSDH who do not have a history of trauma, as in this case.…”

Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review

“…CSDH occurs gradually and is characterized by a CT hypodense lesion compared with the normal brain. [ 3 ] It is common among elderly patients, especially those who take antiplatelet and anticoagulant drugs after coronary heart disease and cerebral infarction, normally occurring after a mild head injury. [ 4 ]…”