[Subdural hematoma following rupture of an aneurysm].
Subdural hematomas are to be expected in about 3% of ruptured intracranial aneurysms. One third of these bleedings causes rapid deterioration as do subdural hematomas of traumatic origin. Otherwise they will show a prolonged or asymptomatic course. On hand of 8 own cases and 51 comparable cases of literature the symptomatology, diagnostic difficulties and the indication for surgery are pointed out. We could show that in more than 70% subdural hematomas in association with bleeding aneurysm are due to aneurysms of the internal carotid artery or the middle cerebral artery. ICA aneurysms are mostly right-sided in these cases and there is a clearly increased susceptibility of women. The possible mechanisms of occurrence of this kind of subdural hemorrhage are discussed.
D000328:Adult; D002533:Cerebral Angiography; D002675:Child, Preschool; D005260:Female; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012422:Rupture, Spontaneous; D013345:Subarachnoid Hemorrhage / Q000601:surgery; D014057:Tomography, X-Ray Computed
Das subdurale Hämatom nach Aneurysmaruptur.