3911

Authors

• Eisuke Tsukagoshi, Department of Endovascular Neurosurgery, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka-shi, Saitama, Japan.
• Hiroki Sato, Department of Endovascular Neurosurgery, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka-shi, Saitama, Japan.
• Shinya Kohyama, Department of Endovascular Neurosurgery, Saitama Medical University International Medical Center, 1397-1 Yamane, Hidaka-shi, Saitama, Japan.

Document Type

Article

Abstract

Acute subdural hemorrhage caused by ruptured cerebral aneurysms is rare. Herein, we report an atypical case of subdural hemorrhage caused by ruptured anterior communicating artery aneurysm in a 49-year-old woman. Computed tomography revealed subarachnoid, intracerebral, and subdural hemorrhages. After the treatment with endovascular coiling significantly decreased the patient's subdural hemorrhage. However, the subdural hemorrhage revealed and became iso-attenuation compared with the white matter on the 11th day, and hypo-attenuation on the 19th day. On the 33rd day, this subdural hemorrhage completely resolved after discontinuation of dual antiplatelet therapy. Due to rapid changes in the radiologic features of SDH, frequent computed tomography scans at least once a week may be needed especially in patients who receive antiplatelet therapy during the vasospasm phase.

Keywords

CT, computed tomography, Cerebral angiography, Cerebral vasospasm, Endovascular coiling, Ruptured aneurysm, SAH, subarachnoid hemorrhage, SDH, subdural hemorrhage, Subdural hemorrhage, Vasospasm

Publication Date

12-1-2021

Publication Title

Radiology case reports

ISSN

1930-0433

Volume

16

Issue

12

Last Page

3914

PubMed ID

34703517

Digital Object Identifier (DOI)

10.1016/j.radcr.2021.09.027

Recommended Citation

Tsukagoshi, Eisuke; Sato, Hiroki; and Kohyama, Shinya, "3911" (2021). Translational Neuroscience. 2591.
https://scholar.barrowneuro.org/neurobiology/2591