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Acute Spontaneous Subdural Hematoma of Arterial Origin

  • Sung, Soon-Ki (Department of Neurosurgery, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University) ;
  • Kim, Sung-Hoon (Department of Neurosurgery, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University) ;
  • Son, Dong-Wuk (Department of Neurosurgery, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University) ;
  • Lee, Sang-Weon (Department of Neurosurgery, Pusan National University Yangsan Hospital, School of Medicine, Pusan National University)
  • 투고 : 2011.05.17
  • 심사 : 2012.02.07
  • 발행 : 2012.02.28

초록

Acute spontaneous subdural hematoma (SDH) of arterial origin is very rare. We report a case of acute spontaneous SDH that showed contrast media extravasation from cortical artery on angiograms. A 58-year-old male patient developed sudden onset headache and right hemiparesis. Brain CT scan demonstrated acute SDH at left convexity. The patient was drowsy mentality on admission. He had no history of head trauma. Cerebral angiography was performed and revealed a localized extravasation of the contrast media from distal cortical MCA branch. After angiography, the patient deteriorated to comatose mentality. Decompressive craniectomy for removal of SDH was performed. We verified the arterial origin of the bleeding and coagulated the bleeding focus. The histological diagnosis was aneurysmal artery. He recovered after surgery with mild disability. In a case of acute spontaneous SDH, the possibility of a cortical artery origin should be considered.

키워드

참고문헌

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피인용 문헌

  1. Spontaneous Chronic Subdural Hematoma in an Adolescent Girl vol.53, pp.3, 2012, https://doi.org/10.3340/jkns.2013.53.3.201
  2. Acute Subdural Hematoma after Carotid Artery Stenting vol.34, pp.4, 2012, https://doi.org/10.17340/jkna.2016.4.18
  3. Acute Subdural Hematoma and Subarachnoid Hemorrhage Caused by Ruptured Cortical Artery Aneurysm: Case Report and Review of Literature vol.6, pp.None, 2012, https://doi.org/10.4103/2277-9175.204589
  4. Spontaneous subdural haemorrhage from an arachnoid cyst: a case report and literature review vol.31, pp.5, 2017, https://doi.org/10.1080/02688697.2016.1187255
  5. Non-traumatic subdural hematoma in a third-trimester gravid patient: A case report vol.23, pp.None, 2012, https://doi.org/10.1016/j.inat.2020.100967
  6. Spontaneous chronic subdural hematoma due to cerebral cortical artery rupture: First case report and review of pertinent literature vol.34, pp.6, 2012, https://doi.org/10.1177/19714009211026891