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Mrfka, M; Pistracher, K; Augustin, M; Kurschel-Lackner, S; Mokry, M.
Acute subdural hematoma without subarachnoid hemorrhage or intraparenchymal hematoma caused by rupture of a posterior communicating artery aneurysm: case report and review of the literature.
J Emerg Med. 2013; 44(6):e369-e373
Doi: 10.1016/j.jemermed.2012.11.073
(- Case Report)
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
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Mrfka Manuel
- Co-Autor*innen der Med Uni Graz
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Kurschel-Lackner Senta
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Mokry Michael
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Pistracher Karin Felicitas
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- Abstract:
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Acute subdural hematoma without subarachnoid hemorrhage or intraparenchymal hematoma is rare.
We report on a 47-year-old women without previous trauma who presented with an acute subdural hematoma without subarachnoid hemorrhage. The hematoma was evacuated immediately. Further evaluation with a cerebral four-vessel angiography revealed a left-sided posterior communicating artery aneurysm that was occluded by endovascular embolization. The patient recovered without neurological deficit.
Ruptured intracranial aneurysm should be considered as a cause of nontraumatic subdural hematoma. Immediate subdural hematoma removal after aneurysm coiling can be performed in such patients, even those in poor neurological condition.
Copyright © 2013 Elsevier Inc. All rights reserved.
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Aneurysm, Ruptured - radiography
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Hematoma, Subdural, Acute - etiology
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Humans -
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