Publish in this journal
Journal Information
Vol. 43. Issue 3.
Pages 190 (April 2019)
Vol. 43. Issue 3.
Pages 190 (April 2019)
Images in Intensive Medicine
DOI: 10.1016/j.medine.2019.01.003
Full text access
Spontaneous acute subdural hematoma. An unusual presentation of ruptured cerebral aneurysm
Hematoma subdural agudo espontáneo. Presentación infrecuente de aneurisma cerebral roto
Visits
58
M.D. Freire Aragón
Corresponding author
lola_freire@ono.com

Corresponding author.
, M. Adriaensens Pérez, A.J. Marín Caballos
Unidad de Gestión Clínica de Cuidados Intensivos, Hospital Universitario Virgen del Rocío, Sevilla, Spain
This item has received
58
Visits
Article information
Full Text
Download PDF
Statistics
Figures (2)
Full Text

A fifty-three-year-old woman with no significant medical history was admitted due to sudden decreased level of consciousness preceded by headache and vomit. Her Glasgow Coma Scale Score was 5, the patient offered motor response in the extension prone position and right mydriasis. We proceeded with airway isolation. The cranial computed tomography (CT) scan conducted showed an extensive right acute subdural hematoma with a 9mm midline shift (Fig. 1) and no associated subarachnoid hemorrhage. Since the patient had not sustained any traumas, the CT scan was followed by a CTA that confirmed the presence of one 10×6×5mm oval-shaped aneurysm independent from the bifurcation of the right middle cerebral artery responsible for the bleeding in an atypical location such as the subdural space (Fig. 2). We proceeded with the urgent evacuation of the subdural hematoma and the direct clipping of the aneurysm with a favorable clinical course.

Figure 1.

Cranial CT scan (axial slice). Right hemispheric extra-axial hyperdense collection consistent with an extensive acute subdural hematoma with significant mass effect.

(0.06MB).
Figure 2.

Cranial CTA. Aneurysmal lesion dependent on the bifurcation of the right middle cerebral artery (arrowhead).

(0.09MB).

Please cite this article as: Freire Aragón MD, Adriaensens Pérez M, Marín Caballos AJ. Hematoma subdural agudo espontáneo. Presentación infrecuente de aneurisma cerebral roto. Med Intensiva. 2019;43:190.

Copyright © 2018. Elsevier España, S.L.U. and SEMICYUC
Idiomas
Medicina Intensiva (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.