title: Subdural Hematomas Following Intracranial Aneurysm Rupture: A Rare Phenomenon.
abstract: Acute Subdural Hematoma (aSDH) due to aneurysm rupture and no subarachnoid bleeding are very rare with only 29 cases reported in literature. A 56-year female presented with headache and drowsiness and a previous history of loss of consciousness. Clinical examination revealed a GCS of 14 and a right sided hemiparesis. Workup revealed a pure subdural hematoma due to a middle cerebral artery aneurysm rupture with no subarachnoid hemorrhage. Laboratory workup was otherwise normal and she had no history of falls or head trauma consistent with the usual etiology of an aSDH. She underwent evacuation of the hematoma with clipping of the aneurysm. She had an uneventful recovery with good outcome and no residual neurological deficits at one-year follow-up.
authors: Department of Neurosurgery, Combined Military Hospital, Peshawar.
authors: Muhammad
authors: M
authors: Junaid
authors: Department of Radiology, Khyber Teaching Hospital, Peshawar.
authors: Syed Sarmad
authors: SS
authors: Bukhari
authors: Department of Radiology, Fauji Foundation Hospital, Rawalpindi.
authors: Anisa
authors: A
authors: Kalsoom
authors: Department of Obstetrics and Gynaecology, Combined Military Hospital, Peshawar.
authors: Afeera
authors: A
authors: Afsheen
mesh_terms: D017542:Aneurysm, Ruptured / Q000150:complications / Q000000981:diagnostic imaging; D020771:Anterior Cerebral Artery / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D005260:Female; D006261:Headache / Q000209:etiology; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging; D020199:Hematoma, Subdural, Acute / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome