Acute Spontaneous Subdural Hemorrhage by Cerebral Aneurysmal Rupture: Report of Two Cases

ABSTRACT

Two cases of acute spontaneous subdural hemorrhage caused by cerebral aneurysmal rupture are presented. The patients’ chief complaints were sudden bursting headache and comatose mentality. There was no history of trauma or proclivity for spontaneous bleeding, and CT scans of the brain indicated subdural hemorrhage without remarkable subarachnoid hemorrhage. In case 1, an aneurysm at the distal segment of the right anterior cerebral artery was identified by CT angiography; the subdural hemorrhage was evacuated and the aneurysm surgically clipped. In case 2, an aneurysm at the junction of the anterior communicating artery and the right anterior cerebral artery was revealed by CT angiography and digital subtraction angiography, and Guglielmi detachable coil embolization of the aneurysm was performed.