Journal of Cerebrovascular and Endovascular Neurosurgery  2016;18(3):315-321

doi:10.7461/jcen.2016.18.3.315

Subdural Hematoma without Subarachnoid Hemorrhage Caused by the Rupture of Middle Cerebral Artery Aneurysm.

Jinsol HAN 1 ; Dong Jun LIM ; Sang Dae KIM ; Sung Kon HA ; Seung Hwan LEE ; Se Hoon KIM

Affiliations

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Keywords

Cerebral aneurysm; Subdural hematoma; Middle cerebral artery

Country

Republic of Korea

Language

English

Abstract

Pure subdural hematomas caused by a ruptured intracranial aneurysm are extremely rare. We describe the case of a 42-year-old woman who presented with headache without evidence of head trauma. Magnetic resonance angiography and conventional cerebral angiography revealed a ruptured aneurysm at the right middle cerebral artery bifurcation. The patient underwent surgical treatment and had a good outcome without any neurological deficit. The mechanisms and clinical characteristics of this condition are discussed.