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  • Title: Acute subdural hematoma caused by an unruptured, thrombosed giant intracavernous aneurysm.
    Author: Triantafyllopoulou A, Beaumont A, Ulatowski J, Tamargo RJ, Varelas PN.
    Journal: Neurocrit Care; 2006; 5(1):39-42. PubMed ID: 16960293.
    Abstract:
    INTRODUCTION: Acute subdural hematoma (SDH) is an infrequent complication after aneurysmal subarachnoid hemorrhage. SDH associated with unruputed intracavernous aneurysm has never been reported. METHODS: Single patient case report and review of relevent literature. RESULTS: A 65-year-old woman with an unruptured, thrombosed giant intracavernous aneurysm developed an acute SDH 2 days after admission for cavernous sinus syndrome. Despite emergent evacuation of the SDH, the patient never regained consciousness because of brain herniation. CONCLUSION: Acute SDH is a rare complication of ruptured, giant intracavernous aneurysms. Erosion of the cavernous sinus wall by acute enlargement of the aneurysm after thrombosis is the proposed mechanism for development of the SDH.
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