J Korean Neurosurg Soc.  2005 May;37(5):375-379.

Acute Subdural Hematoma Associated with Ruptured Intracranial Aneurysm: Diagnosis and Emergent Aneurysm Clipping

• Kim JM
• Hur JW
• Lee JW
• Kim MS

Abstract

Rarely, rupture of a cerebral aneurysm causes an acute subdural hematoma(SDH) in addition to subarachnoid hemorrhage(SAH). We report clinical and radiological characteristics of five cases, as well as potential pitfalls in the diagnosis and the treatment of this life-threatening condition. The patients ranged in age from 42 to 76 years. The Hunt-Hess grade on admission was gradeIII in one patient, gradeIV in two, and grade V in two. All five patients underwent one-stage operation (both SDH evacuation and clipping of the aneurysm). The outcome was good recovery in two patients, persistent vegetative state in two, and death in one. Patients with a good outcome had a better Hunt-Hess grade on admission, with less amount of SDH.

Keyword

Acute subdural hematoma; Aneurysm; Outcome

MeSH Terms

Aneurysm*
Diagnosis*
Hematoma, Subdural, Acute*
Humans
Intracranial Aneurysm*
Persistent Vegetative State
Rupture