title: Migrating subdural hematoma without subarachnoid hemorrhage in the case of a patient with a ruptured aneurysm in the intrasellar anterior communicating artery.
abstract: 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.
authors.affiliation: Department of Neurosurgery, Mount Sinai School of Medicine, New York, NY 10029, USA. ronit.gilad@mssm.edu
authors.forename: R
authors.initials: R
authors.lastname: Gilad
authors.forename: G M
authors.initials: GM
authors.lastname: Fatterpekar
authors.forename: D M
authors.initials: DM
authors.lastname: Johnson
authors.forename: A B
authors.initials: AB
authors.lastname: Patel
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications* / Q000175:diagnosis; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012658:Sella Turcica / Q000000981:diagnostic imaging; D013115:Spinal Canal / Q000473:pathology