Tentorium cerebelli subdural haematoma complicating subarachnoid haemorrhage.
Acute subdural haematoma (SDH) as a result of aneurysmal rupture is a rare event. We report a tentorium cerebelli SDH, secondary to a ruptured aneurysm which we believe is unique in the literature. This report also gives further support to the theory that a sentinel bleed causes inflammation and adhesion between the aneurysm and arachnoid as the underlying pathology in these unusual subdural haematomas. Since the first report of acute SDH from a ruptured aneurysm by Hasse in 1855, only about 150 further cases have been reported in the literature. We describe a further case, but at an as yet unreported site with radiological evidence of a sentinel bleed.
Dowla
M S
MS
Department of Neurology and Neurosurgery, Concord Hospital, Sydney, Australia.
Pell
M
M
Sharpe
D
D
D000208:Acute Disease; D017542:Aneurysm, Ruptured / Q000150:complications*; D002343:Carotid Artery, Internal; D005260:Female; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008875:Middle Aged; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed