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  • Title: [Subdural hematoma following rupture of an aneurysm].
    Author: Russeger L, Twerdy K.
    Journal: Zentralbl Neurochir; 1986; 47(3):226-43. PubMed ID: 3811685.
    Abstract:
    Subdural hematomas are to be expected in about 3% of ruptured intracranial aneurysms. One third of these bleedings causes rapid deterioration as do subdural hematomas of traumatic origin. Otherwise they will show a prolonged or asymptomatic course. On hand of 8 own cases and 51 comparable cases of literature the symptomatology, diagnostic difficulties and the indication for surgery are pointed out. We could show that in more than 70% subdural hematomas in association with bleeding aneurysm are due to aneurysms of the internal carotid artery or the middle cerebral artery. ICA aneurysms are mostly right-sided in these cases and there is a clearly increased susceptibility of women. The possible mechanisms of occurrence of this kind of subdural hemorrhage are discussed.
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