This Article Figures Only Full Text Full Text (PDF) Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Koerbel, A Articles by Freudenstein, D Search for Related Content PubMed PubMed Citation Articles by Koerbel, A Articles by Freudenstein, D

Acute subdural haematoma without subarachnoid haemorrhage caused by rupture of an internal carotid artery bifurcation aneurysm: case report and review of literature

Departments of ¹ Neurosurgery and ² Neuroradiology, University Hospital, Eberhard Karls University, Hoppe-Seyler-Strasse 3, D-72076, Tübingen, Germany

Correspondence: Dr Dirk Freudenstein

Spontaneous pure acute subdural haematoma (ASDH) without intraparenchymal or subarachnoid haemorrhage caused by a ruptured cerebral aneurysm is extremely rare. To our knowledge, the present case is the first report of an internal carotid artery bifurcation aneurysm presenting as pure ASDH. Suitable diagnostic investigations and therapeutic strategies are discussed. Arterial origin of bleeding should be considered in all cases of non-traumatic ASDH and a vascular anomaly has to be excluded. The neurological status on admission dictates the appropriate timing and methodology of the neuroradiological investigations.

This article has been cited by other articles:

				R. Gilad, G.M. Fatterpekar, D.M. Johnson, and A.B. Patel Migrating Subdural Hematoma without Subarachnoid Hemorrhage in the Case of a Patient with a Ruptured Aneurysm in the Intrasellar Anterior Communicating Artery AJNR Am. J. Neuroradiol., November 1, 2007; 28(10): 2014 - 2016. [Abstract] [Full Text] [PDF]