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AJNR - American Journal of Neuroradiology

Publication Preview: Published October 5, 2007

American Journal of Neuroradiology 2007;28:2014.

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American Journal of Neuroradiology
DOI 10.3174/ajnr.A0726

BRAIN

Migrating Subdural Hematoma without Subarachnoid Hemorrhage in the Case of a Patient with a Ruptured Aneurysm in the Intrasellar Anterior Communicating Artery

R. Gilad, G.M. Fatterpekar, D.M. Johnson and A.B. Patel

From the Departments of Neurosurgery (R.G.), Radiology (G.M.F.), and Neurosurgery and Radiology (D.M.J., A.B.P.), Mount Sinai School of Medicine, New York, New York.

Please address correspondence to Ronit Gilad, MD, Department of Neurosurgery, Mount Sinai School of Medicine, One Gustave Levy Place, New York, NY 10029; e-mail: ronit.gilad{at}mssm.edu

SUMMARY: 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.