| Acute Subdural Hematoma Associated with Ruptured Intracranial Aneurysm: Diagnosis and Emergent Aneurysm Clipping. |
| Jung Min Kim, Jin Woo Hur, Jong Won Lee, Myoung Soo Kim |
1Department of Neurosurgery, Cheongju Saint Mary's Hospital, Cheongju, Korea.
2Department of Neurosurgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea. hanibalkms@hanmail.net |
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| ABSTRACT |
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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. |
| Key Words:
Acute subdural hematoma; Aneurysm; Outcome |
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