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British Journal of Radiology (2005) 78, 646-650
© 2005 British Institute of Radiology
doi: 10.1259/bjr/60601877

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

A Koerbel, MD 1 U Ernemann, MD 2 and D Freudenstein, MD 1

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



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Figure 1. CT scan showing an acute subdural haematoma over the left hemisphere with compression of the left ventricle.

 


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Figure 2. CT scan displaying the basal cisterns without subarachnoid haemorrhage.

 


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Figure 3. Left carotid angiography showing a 5 mm diameter saccular aneurysm projecting from the bifurcation of the internal carotid artery.

 


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Figure 4. Three-dimensional angiography demonstrating an irregular shape of the aneurysm.

 


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Figure 5. Post-interventional left carotid angiography demonstration the occlusion of the aneurysm.

 





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