Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the Literature

Spontaneous pure acute bilateral subdural haematoma (ASDH) without intraparenchymal or subarachnoid haemorrhage caused by a ruptured cerebral aneurysm is extremely rare. It can follow rupture of different aneurysms specially located in anterior incisural space; the most frequently encountered locati...

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Main Authors: Ossama Mansour, Tamer Hassen, Sameh Fathy
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2014/260853
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author Ossama Mansour
Tamer Hassen
Sameh Fathy
author_facet Ossama Mansour
Tamer Hassen
Sameh Fathy
author_sort Ossama Mansour
collection DOAJ
description Spontaneous pure acute bilateral subdural haematoma (ASDH) without intraparenchymal or subarachnoid haemorrhage caused by a ruptured cerebral aneurysm is extremely rare. It can follow rupture of different aneurysms specially located in anterior incisural space; the most frequently encountered location is the PcoA aneurysms as demonstrated in the present case. We present a case report of a PcoA aneurysm presenting as pure bilateral ASDH. A high level of suspicion for bleeding of arterial origin should be maintained in all cases of acute subdural haematoma without history of trauma. The neurological status on admission dictates the appropriate timing and methodology of the neuroradiological investigations.
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institution Kabale University
issn 2090-6668
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spelling doaj-art-eedcf863323645ae84e95c427915887b2025-02-03T06:11:24ZengWileyCase Reports in Neurological Medicine2090-66682090-66762014-01-01201410.1155/2014/260853260853Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the LiteratureOssama Mansour0Tamer Hassen1Sameh Fathy2Neurology and Endovascular Neurology Department, Alexandria University Hospital, Champlion Street, Alazareeta, Medical Campus, Alexandria 23169, EgyptNeurosurgery Department, Alexandria University Hospital, Champlion Street, Alazareeta, Medical Campus, Alexandria 23169, EgyptRadiodiagnosis Department, Zagazig University Hospital, Zagazig 24533, EgyptSpontaneous pure acute bilateral subdural haematoma (ASDH) without intraparenchymal or subarachnoid haemorrhage caused by a ruptured cerebral aneurysm is extremely rare. It can follow rupture of different aneurysms specially located in anterior incisural space; the most frequently encountered location is the PcoA aneurysms as demonstrated in the present case. We present a case report of a PcoA aneurysm presenting as pure bilateral ASDH. A high level of suspicion for bleeding of arterial origin should be maintained in all cases of acute subdural haematoma without history of trauma. The neurological status on admission dictates the appropriate timing and methodology of the neuroradiological investigations.http://dx.doi.org/10.1155/2014/260853
spellingShingle Ossama Mansour
Tamer Hassen
Sameh Fathy
Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the Literature
Case Reports in Neurological Medicine
title Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the Literature
title_full Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the Literature
title_fullStr Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the Literature
title_full_unstemmed Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the Literature
title_short Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the Literature
title_sort acute aneurismal bilateral subdural haematoma without subarachnoid haemorrhage a case report and review of the literature
url http://dx.doi.org/10.1155/2014/260853
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