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Ruptured Brain Aneurysm: A Rare Cause Of Isolated Acute Subdural Hematoma.

J Belg Soc Radiol

December 2024

Department of Interventional Neuroradiology, Erasme University Hospital, Brussels, Belgium.

Although computed tomography (CT) is the diagnostic gold standard for acute subdural hematoma, the absence of clear trauma should prompt the use of computed tomography angiography (CTA) to identify potential underlying causes, such as ruptured aneurysms, which can significantly influence treatment decisions.

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Background: There is minimal literature on the outcomes of acute traumatic subdural hematoma (SDH) in patients 90 years of age or older. This study aims to characterize the presentation and acute outcomes of patients in this population, particularly for surgical candidates.

Methods: Patients 90 years of age or older with acute SDH between 2013-2023 were analyzed (n = 117).

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Background: A nonadjustable state of the programmable shunt valve is a rare phenomenon. This case report aims to explore the cause of pressure adjustment dysfunction in a programmable shunt valve in a middle cranial fossa arachnoid cyst-peritoneal shunt patient and to underscore this dysfunction as an indicator of shunt valve obstruction.

Case Presentation: A child with a ruptured giant arachnoid cyst in the left middle cranial fossa presented with acute intracranial hypertension following head trauma.

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Pure acute subdural hematoma (ASDH) is an uncommon clinical presentation of ruptured intracranial aneurysms, and only rarely, the culprit is a cortical microaneurysm.Mortality can be high; thus, appropriate diagnosis and treatment are crucial. Due to its extreme rarity, there are no available guidelines.

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