Acute spontaneous subdural hematoma of arterial origin: a report of five cases.
Acute spontaneous subdural hematoma of arterial origin is very rare. We report five patients who presented with a history of sudden onset of severe headache and vomiting and who developed progressive neurologic deficits, three becoming comatose. The symptomatologic onset was indistinguishable from other cerebrovascular disorders; none of the patients had a history of head trauma. In all our patients, the source of bleeding was identified at operation as a cortical artery located near the Sylvian region. Comparable cases in the literature are reviewed and the etiologic possibilities are discussed.
Koç
R K
RK
Department of Neurosurgery, Erciyes University, Faculty of Medicine, Kayseri, Turkey.
Paşaoğlu
A
A
Kurtsoy
A
A
Oktem
I S
IS
Kavuncu
I
I
D000208:Acute Disease; D000368:Aged; D002536:Cerebral Arteries; D002540:Cerebral Cortex / Q000098:blood supply*; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005260:Female; D006408:Hematoma, Subdural / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged