Shen W C, Cho D Y, Lee C C
Department of Radiology, China Medical College Hospital, Taichung, Taiwan, ROC.
Zhonghua Yi Xue Za Zhi (Taipei). 1998 Jun;61(6):358-61.
The occurrence of a subdural hematoma caused by the rupture of an intracranial aneurysm is rare. In our case, the patient is a 43-year-old woman who suffered from sudden onset of severe headache. Computed tomographic (CT) scan disclosed a subdural hematoma associated with subarachnoid hemorrhage. CT angiography and digital subtraction angiography revealed an elongated aneurysm adhering to the dura in the left Sylvian fissure. The subdural hematoma was evacuated and the aneurysm clipped. The patient made a full recovery.
颅内动脉瘤破裂导致硬膜下血肿的情况较为罕见。在我们的病例中,患者为一名43岁女性,突发剧烈头痛。计算机断层扫描(CT)显示硬膜下血肿合并蛛网膜下腔出血。CT血管造影和数字减影血管造影显示一个细长的动脉瘤附着于左侧外侧裂的硬脑膜上。硬膜下血肿被清除,动脉瘤被夹闭。患者完全康复。