Migrating Subdural Hematoma without Subarachnoid Hemorrhage in the Case of a Patient with a Ruptured Aneurysm in the Intrasellar Anterior Communicating Artery

• Published in: American journal of neuroradiology : AJNR Vol. 28; no. 10; pp. 2014 - 2016
• Main Authors: Gilad, R, Fatterpekar, G.M, Johnson, D.M, Patel, A.B
• Format: Journal Article
• Language: English
• Published: Oak Brook, IL Am Soc Neuroradiology 01-11-2007; American Society of Neuroradiology
• Subjects: Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Aneurysm, Ruptured - complications; Aneurysm, Ruptured - diagnosis; Biological and medical sciences; Bone marrow, stem cells transplantation. Graft versus host reaction; Brain; Cerebral Angiography; Cerebral Hemorrhage - diagnosis; Cerebral Hemorrhage - etiology; Hematoma, Subdural - diagnosis; Hematoma, Subdural - etiology; Human viral diseases; Humans; Infectious diseases; Intracranial Aneurysm - complications; Intracranial Aneurysm - diagnosis; Investigative techniques, diagnostic techniques (general aspects); Magnetic Resonance Imaging; Male; Medical sciences; Middle Aged; Nervous system; Radiodiagnosis. Nmr imagery. Nmr spectrometry; Sella Turcica - diagnostic imaging; Spinal Canal - pathology; Transfusions. Complications. Transfusion reactions. Cell and gene therapy; Viral diseases; Viral diseases of the lymphoid tissue and the blood. Aids; Vascular disease; Human; Subdural; Nervous system diseases; Radiodiagnosis; Aneurysm; Hematoma; Subarachnoid; Cardiovascular disease; Hemorrhage; Anterior communicating artery
• ISSN: 0195-6108; 1936-959X
• DOI: 10.3174/ajnr.A0726

Acute spontaneous subdural hematoma without the presence of a subarachnoid hemorrhage as a result of a ruptured aneurysm is rare. We present the case of a patient with an aneurysm of the intrasellar anterior communicating artery that caused hemorrhage solely into the subdural space. The hemorrhage then migrated down the spinal canal. Our case is unique because all these 3 rare processes occurred in a single patient. Identification of the cause of this type of hemorrhage in a timely fashion is crucial to the management of such a patient.