Skip to main content

Advertisement

SpringerLink
Log in

Acute subdural haematoma due to ruptured intracranial aneurysms

  • Original Article
  • Published:
Neurosurgical Review Aims and scope Submit manuscript

Abstract

Acute spontaneous subdural haematoma (SDH) is rarely associated with rupture of intracranial saccular aneurysm. We report our experience with four cases of non-traumatic SDHs secondary to rupture of an intracranial aneurysm and discuss the diagnosis and management of this condition. We retrospectively reviewed of four cases of acute SDH due to cerebral aneurysm rupture confirmed by cerebral angiography and surgery. Patients were evaluated using the Glasgow Coma Scale (GCS) and subarachnoid grade of the World Federation of Neurosurgical Societies (WFNS) and outcome with the Glasgow Outcome Scale (GOS). Of the 232 patients with non-traumatic subarachnoid haemorrhage (SAH) treated between 1993 and 2002, only four patients (1.72%) presented SDH due to aneurysmal rupture. The SAH grade on admission was grade IV in one patient and V in the other three. In all cases the aneurysm was located in the posterior communicating artery. Spontaneous acute SDH secondary to aneurysm rupture has been rarely reported. We suggested that timely SDH removal and aneurysmal clipping surgery should be performed in such patients, including those in poor neurological condition.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1a, b
Fig. 2
Fig. 3a, b
Fig. 4a, b

Similar content being viewed by others

References

  1. Alves OL, Gomes O (2000) Cocaine-related acute subdural haematoma: an emergent cause of cerebrovascular accident. Acta Neurochir (Wien) 142:819–821

    Google Scholar 

  2. Barton B, Tudor J (1982) Subdural hematoma in association with intracranial aneurysm. Neuroradiology 23:157–160

    CAS  PubMed  Google Scholar 

  3. Gelabert-González M, Fernández-Villa JM, Iglesias-Pais M, González-García J, García-Allut A (2003) Acute spontaneous subdural haematoma of arterial origin. Neurocirugía (in press)

  4. Hasse KE (1955) Die Krankheiten des Nervensystems. In: Virchow R (ed) Handbuch der speziellen Pathologie und Therapie, vol IV/1. Enke, Erlangen, Germany, p 404

  5. Inamasu J, Saito R, Nakamura Y, Ichikizaki K, Suga S, Kawase T, Hori S, Aikawa N (2002) Acute subdural hematoma caused by ruptured cerebral aneurysms: diagnostic and therapeutic pitfalls. Resuscitation 52:71–76

    Article  PubMed  Google Scholar 

  6. Kondziolka D, Bernstein M, Brugge K, Schutz H (1988) Acute subdural hematoma from ruptured posterior communicating artery aneurysm. Neurosurgery 22:151–153

    CAS  PubMed  Google Scholar 

  7. Meyer F, Sandvo BG (1977) Acute subdural hematoma associated with nontraumatic aneurysm rupture. Zentralbl Neurochir 58:66–70

    Google Scholar 

  8. Missori P, Fenga C, Maraglino C et al (2000) Spontaneous acute subdural hematomas. A clinical comparison with traumatic acute subdural haematomas. Acta Neurochir (Wien) 142:697–701

    Google Scholar 

  9. Nizzoli V, Brambilla P, Tonnarelli GP (1981) Acute subdural hematoma: spontaneous forms of arterial origin. Eur Neurol 20:4–8

    CAS  PubMed  Google Scholar 

  10. Nonaka Y, Kusumoto M, Mori K, Maeda M (2000) Pure acute subdural haematoma without subarachnoid haemorrhage caused by rupture of internal carotid artery aneurysm. Acta Neurochir (Wien) 142:941–944

    Google Scholar 

  11. Nowak G, Schwachenwald S, Kehler U, Muller H, Arnold H (1995) Acute subdural haematoma from ruptured intracranial aneurysms. Acta Neurochir (Wien) 136:163–167

    Google Scholar 

  12. O’Sullivan MG, Whyman M, Steers JW, Whittle IR, Miller JD (1994) Acute subdural haematoma secondary to ruptured intracranial aneurysm: diagnosis and management. Br J Neurosurg 8:439–445

    CAS  PubMed  Google Scholar 

  13. Ragland RL, Gelber ND, Wilkinson HA, Knorr JR, Tran AA (1993) Anterior communicating artery aneurysm rupture: an unusual cause of acute subdural hemorrhage. Surg Neurol 40:400–402

    CAS  PubMed  Google Scholar 

  14. Reif J, Moringlane JR (1986) Acute aneurysmal haemorrhage presenting as space occupying subdural haematoma. Zentralbl Neurochir 47:226–243

    PubMed  Google Scholar 

  15. Rengachary SS, Szymanski DC (1981) Subdural hematomas of arterial origin. Neurosurgery 8:166–172

    CAS  PubMed  Google Scholar 

  16. Ricart C, Pujadas F, Royo M, Llovet J (1986) Acute spontaneous subdural hematoma of arterial origin. Neurología 1:227

  17. Scott M (1949) Spontaneous nontraumatic subdural hematoma. J Am Med Assoc 141:596–602

    Google Scholar 

  18. Stephenson G, Gibson M (1989) Acute spontaneous subdural hematoma of arterial origin. Br J Neurosurg 3:225–228

    CAS  PubMed  Google Scholar 

  19. Strang RR, Tovi D, Hugosson R (1961) Subdural haematomas resulting from the rupture of intracranial arterial aneurysms. Acta Chir Scand 121:345–350

    Google Scholar 

  20. Weir B, Myles T, Kahn M, Maroun F, Malloy D, Benoit B, McDermott M, Cochrane D, Mohr G, Ferguson D, Durity F (1984) Management of acute subdural hematomas from aneurysmal rupture. Can J Neurol Sci 11:371–376

    CAS  PubMed  Google Scholar 

  21. Wright JR, Slavin RE, Wagner JA (1965) Intracranial aneurysm as a cause of subdural hematoma of the posterior fossa. J Neurosurg 22:86–89

    CAS  PubMed  Google Scholar 

Download references

Acknowledgement

The authors thank Mr Romen Das Gupta for his assistance in the preparation of this paper.

Author information

Authors and Affiliations

  1. Neurosurgical Service, Department of Surgery, Clinic Hospital of Santiago, University of Santiago de Compostela, La Choupana, 15706, Santiago de Compostela, Spain

    Miguel Gelabert-Gonzalez, Miguel Iglesias-Pais & Juan Fernández-Villa

Authors
  1. Miguel Gelabert-Gonzalez
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Miguel Iglesias-Pais
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Juan Fernández-Villa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Miguel Gelabert-Gonzalez.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gelabert-Gonzalez, M., Iglesias-Pais, M. & Fernández-Villa, J. Acute subdural haematoma due to ruptured intracranial aneurysms. Neurosurg Rev 27, 259–262 (2004). https://doi.org/10.1007/s10143-004-0333-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10143-004-0333-x

Keywords

Search

Navigation