Acute subdural haematoma from ruptured intracranial aneurysms.
Acute subdural haematoma (SDH) secondary to a ruptured intracranial aneurysm is a rare event. Out of a total of 292 patients with a verified aneurysm (period 1986-1992) in five cases SDH was the diagnosis on CT-evaluation. One patient was in such a bad condition that no treatment was indicated. The remaining four patients were operated on: craniotomy and haematoma evacuation in two cases, craniotomy for haematoma evacuation and aneurysm clipping in the other two cases. Two patients died and two achieved a good outcome.
Nowak
G
G
Department of Neurosurgery, Medical University of Lübeck, Federal Republic of Germany.
Schwachenwald
S
S
Kehler
U
U
Müller
H
H
Arnold
H
H
D000208:Acute Disease; D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D002533:Cerebral Angiography; D003399:Craniotomy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D015996:Survival Rate; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome