Pearls & Oy-sters: What Came First, the Bleed or the Fall?: An Aneurysmal Subdural Hemorrhage

Neurology. 2024 Jun 25;102(12):e209491. doi: 10.1212/WNL.0000000000209491. Epub 2024 May 21.

Abstract

Acute subdural hemorrhages are a common emergency presentation often associated with trauma. However, in the absence of significant trauma, it is important to consider alternative causes. In this case, a 58-year-old woman with trivial trauma after a sudden collapse had bilateral subdural hemorrhages on CT. CT-angiogram revealed anterior communicating artery aneurysm, which had ruptured. This case explores intracerebral aneurysms as a rare cause of subdural hemorrhage that is important to consider in the absence of significant trauma.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, Ruptured* / complications
  • Aneurysm, Ruptured* / diagnostic imaging
  • Computed Tomography Angiography
  • Female
  • Hematoma, Subdural / complications
  • Hematoma, Subdural / diagnostic imaging
  • Hematoma, Subdural / etiology
  • Hematoma, Subdural, Acute / diagnostic imaging
  • Hematoma, Subdural, Acute / etiology
  • Humans
  • Intracranial Aneurysm* / complications
  • Intracranial Aneurysm* / diagnostic imaging
  • Middle Aged
  • Tomography, X-Ray Computed