Intracerebral haemorrhage occurring at remote site following evacuation of chronic subdural haematoma.

We present a patient with an intracerebral haematoma occurring at a remote site following evacuation of a chronic subdural haematoma. Recurrence of the haematoma, infection, seizure, cerebral edema, tension pneumocephalus and failure of the brain to expand due to cerebro-cranial disproportion are the major complications following operations for chronic subdural haematoma. An intracerebral haematoma following such evacuation is rare.

Distal anterior cerebral artery mirror aneurysms and middle cerebral artery aneurysms.

A 52-year-old woman presented with bilateral distal anterior cerebral artery (ACA) mirror aneurysms, in addition to two right middle cerebral artery (MCA) aneurysms. The left distal ACA and right MCA aneurysms were clipped through right interhemispheric and right pterional craniotomies. The right distal ACA aneurysm was thrombosed.