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- Manuel Mrfka, Karin Pistracher, Michael Augustin, Senta Kurschel-Lackner, and Michael Mokry.
- Department of Neurosurgery, Medical University Graz, Austria.
- J Emerg Med. 2013 Jun 1;44(6):e369-73.
BackgroundAcute subdural hematoma without subarachnoid hemorrhage or intraparenchymal hematoma is rare.Case ReportWe report on a 47-year-old women without previous trauma who presented with an acute subdural hematoma without subarachnoid hemorrhage. The hematoma was evacuated immediately. Further evaluation with a cerebral four-vessel angiography revealed a left-sided posterior communicating artery aneurysm that was occluded by endovascular embolization. The patient recovered without neurological deficit.ConclusionsRuptured intracranial aneurysm should be considered as a cause of nontraumatic subdural hematoma. Immediate subdural hematoma removal after aneurysm coiling can be performed in such patients, even those in poor neurological condition.Copyright © 2013 Elsevier Inc. All rights reserved.
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