Pearls & Oy-sters: What Came First, the Bleed or the Fall?: An Aneurysmal Subdural Hemorrhage.

Neurology

From the Department of Radiology (K.P.), St Bartholomew's and the Royal London Hospital; Department of Imaging (E.T., G.D.) and Interventional Neuroradiology (N.R., C.H.), Imperial College Healthcare NHS Trust, London, United Kingdom.

Published: June 2024

Acute subdural hemorrhages are a common emergency presentation often associated with trauma. However, in the absence of significant trauma, it is important to consider alternative causes. In this case, a 58-year-old woman with trivial trauma after a sudden collapse had bilateral subdural hemorrhages on CT. CT-angiogram revealed anterior communicating artery aneurysm, which had ruptured. This case explores intracerebral aneurysms as a rare cause of subdural hemorrhage that is important to consider in the absence of significant trauma.

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Source
http://dx.doi.org/10.1212/WNL.0000000000209491DOI Listing

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