{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T17:31:18Z","timestamp":1762018278156},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T00:00:00Z","timestamp":1584489600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T00:00:00Z","timestamp":1584489600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Neurol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Ruptured intracranial aneurysms are often associated with subarachnoid or intraparenchymal hemorrhage. However, the prevalence of subdural hemorrhage post aneurysmal rupture is low and rarely reported in scientific studies. Here, we report an unusual case of a ruptured posterior communicating artery aneurysm resulting in an isolated subdural hematoma located in the tentorial and spinal canal without subarachnoid or intraparenchymal hemorrhage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>In this case, a 34-year-old woman with no history of trauma or coagulopathy was diagnosed with a subdural hematoma in the tentorium cerebellum tracing to the subdural space of the spinal column. Computed tomography angiography was used to identify the source of the bleeding, which revealed a ruptured left-sided posterior communicating artery saccular aneurysm. The aneurysm was clipped, and the hematoma was evacuated. The patient recovered without any neurological complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results suggest that a diagnosis of ruptured intracranial aneurysm should be considered in patients with nontraumatic subdural hematoma. Prompt diagnostic imaging and interventional diagnostic procedures are required to ensure proper management of these patients and to avoid unnecessary complications.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12883-020-01682-8","type":"journal-article","created":{"date-parts":[[2020,3,18]],"date-time":"2020-03-18T13:03:24Z","timestamp":1584536604000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["A ruptured posterior communicating artery aneurysm presenting as tentorial and spinal isolated subdural hemorrhage: a case report and literature review"],"prefix":"10.1186","volume":"20","author":[{"given":"Abdulrahman Hamad","family":"Al-Abdulwahhab","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulaziz Mohammad","family":"Al-Sharydah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sari Saleh","family":"Al-Suhibani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah Salman","family":"Almulhim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Obaied M.","family":"Al-Dhafeeri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saeed A.","family":"Al-Jubran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,3,18]]},"reference":[{"key":"1682_CR1","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1177\/0300060514524929","volume":"42","author":"J Gong","year":"2014","unstructured":"Gong J, Sun H, Shi XY, Liu WX, Shen Z. Pure subdural haematoma caused by rupture of middle cerebral artery aneurysm: case report and literature review. J Int Med Res. 2014;42:870\u20138.","journal-title":"J Int Med Res"},{"key":"1682_CR2","doi-asserted-by":"publisher","first-page":"e369","DOI":"10.1016\/j.jemermed.2012.11.073","volume":"44","author":"M Mrfka","year":"2013","unstructured":"Mrfka M, Pistracher K, Augustin M, Kurschel-Lackner S, Mokry M. Acute subdural hematoma without subarachnoid hemorrhage or intraparenchymal hematoma caused by rupture of a posterior communicating artery aneurysm: case report and review of the literature. J Emerg Med. 2013;44:e369\u201373.","journal-title":"J Emerg Med"},{"key":"1682_CR3","doi-asserted-by":"publisher","first-page":"11","DOI":"10.5853\/jos.2016.00563","volume":"19","author":"JJ Heit","year":"2017","unstructured":"Heit JJ, Iv M, Wintermark M. Imaging of intracranial hemorrhage. J Stroke. 2017;19:11\u201327.","journal-title":"J Stroke"},{"key":"1682_CR4","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1007\/s00270-009-9772-7","volume":"33","author":"R De Blasi","year":"2010","unstructured":"De Blasi R, Salvati A, Renna M, Chiumarulo L. Pure subdural hematoma due to cerebral aneurysmal rupture: an often delayed diagnosis. Cardiovasc Intervent Radiol. 2010;33:870\u20133.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"1682_CR5","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1016\/j.wneu.2018.03.211","volume":"114","author":"A Thapa","year":"2018","unstructured":"Thapa A, Bidur KC, Shakya B. Pure acute-on-chronic subdural hematoma due to ruptured posterior communicating artery aneurysm: unsuspecting entity. World Neurosurg. 2018;114:335\u20138.","journal-title":"World Neurosurg"},{"key":"1682_CR6","doi-asserted-by":"publisher","first-page":"1397","DOI":"10.1111\/j.1468-1331.2012.03768.x","volume":"19","author":"LM Berghauser Pont","year":"2012","unstructured":"Berghauser Pont LM, Dirven CM, Dippel DW, Verweij BH, Dammers R. The role of corticosteroids in the management of chronic subdural hematoma: a systematic review. Eur J Neurol. 2012;19:1397\u2013403.","journal-title":"Eur J Neurol"},{"key":"1682_CR7","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1007\/BF00347560","volume":"23","author":"E Barton","year":"1982","unstructured":"Barton E, Tudor J. Subdural haematoma in association with intracranial aneurysm. Neuroradiology. 1982;23:157\u201360.","journal-title":"Neuroradiology"},{"key":"1682_CR8","doi-asserted-by":"publisher","first-page":"39","DOI":"10.4103\/2152-7806.94287","volume":"3","author":"MS Kim","year":"2012","unstructured":"Kim MS, Jung JR, Yoon SW, Lee CH. Subdural hematoma of the posterior fossa due to posterior communicating artery aneurysm rupture. Surg Neurol Int. 2012;3:39.","journal-title":"Surg Neurol Int"},{"key":"1682_CR9","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1227\/00006123-198801000-00029","volume":"22","author":"D Kondziolka","year":"1988","unstructured":"Kondziolka D, Bernstein M, ter Brugge K, Schutz H. Acute subdural hematoma from ruptured posterior communicating artery aneurysm. Neurosurgery. 1988;22:151\u20134.","journal-title":"Neurosurgery"},{"key":"1682_CR10","first-page":"861","volume":"30","author":"T Araki","year":"2002","unstructured":"Araki T, Sampei T, Murata H, Fujiwara H, Taki W. A case of internal carotid-posterior communicating artery aneurysm presenting pure acute subdural hematoma. No Shinkei Geka. 2002;30:861\u20136.","journal-title":"No Shinkei Geka"},{"key":"1682_CR11","first-page":"80","volume":"52","author":"G Blake","year":"2003","unstructured":"Blake G, James M, Ramjit C, Char G, Hunter R, Crandon I. Acute subdural haematoma without subarachnoid haemorrhage caused by rupture of an intracranial aneurysm. West Indian Med J. 2003;52:80\u20131.","journal-title":"West Indian Med J"},{"key":"1682_CR12","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1016\/0730-4862(82)90120-2","volume":"6","author":"FM Eggers","year":"1982","unstructured":"Eggers FM, Tomsick TA, Lukin RR, Chambers AA. Recognition of subdural hematoma secondary to ruptured aneurysm by computerized tomography. Comput Radiol. 1982;6:309\u201313.","journal-title":"Comput Radiol"},{"key":"1682_CR13","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/0730-4862(83)90187-7","volume":"7","author":"MB Friedman","year":"1983","unstructured":"Friedman MB, Brant-Zawadzki M. Interhemispheric subdural hematoma from ruptured aneurysm. Comput Radiol. 1983;7:129\u201334.","journal-title":"Comput Radiol"},{"key":"1682_CR14","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/S0300-9572(01)00433-6","volume":"52","author":"J Inamasu","year":"2002","unstructured":"Inamasu J, Saito R, Nakamura Y, Ichikizaki K, Suga S, Kawase T, et al. Acute subdural hematoma caused by ruptured cerebral aneurysms: diagnostic and therapeutic pitfalls. Resuscitation. 2002;52:71\u20136.","journal-title":"Resuscitation"},{"key":"1682_CR15","doi-asserted-by":"publisher","first-page":"533","DOI":"10.2176\/nmc.37.533","volume":"37","author":"A Ishibashi","year":"1997","unstructured":"Ishibashi A, Yokokura Y, Sakamoto M. Acute subdural hematoma without subarachnoid hemorrhage due to ruptured intracranial aneurysm--case report. Neurol Med Chir (Tokyo). 1997;37:533\u20137.","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"1682_CR16","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1016\/S0090-3019(00)00262-7","volume":"54","author":"E Ishikawa","year":"2000","unstructured":"Ishikawa E, Sugimoto K, Yanaka K, Ayuzawa S, Iguchi M, Moritake T, et al. Interhemispheric subdural hematoma caused by a ruptured internal carotid artery aneurysm: case report. Surg Neurol. 2000;54:82\u20136.","journal-title":"Surg Neurol"},{"key":"1682_CR17","first-page":"260853","volume":"2014","author":"O Mansour","year":"2014","unstructured":"Mansour O, Hassen T, Fathy S. Acute aneurismal bilateral subdural haematoma without subarachnoid haemorrhage: a case report and review of the literature. Cas Rep in Neurol Med. 2014;2014:260853.","journal-title":"Cas Rep in Neurol Med"},{"key":"1682_CR18","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1007\/s00701-009-0521-0","volume":"152","author":"S Marbacher","year":"2010","unstructured":"Marbacher S, Fandino J, Lukes A. Acute subdural hematoma from ruptured cerebral aneurysm. Acta Neurochir (Wien). 2010;152:501\u20137.","journal-title":"Acta Neurochir (Wien)"},{"key":"1682_CR19","doi-asserted-by":"publisher","first-page":"941","DOI":"10.1007\/s007010070082","volume":"142","author":"Y Nonaka","year":"2000","unstructured":"Nonaka Y, Kusumoto M, Mori K, Maeda M. Pure acute subdural haematoma without subarachnoid haemorrhage caused by rupture of internal carotid artery aneurysm. Acta Neurochir (Wien). 2000;142:941\u20134.","journal-title":"Acta Neurochir (Wien)"},{"key":"1682_CR20","first-page":"631","volume":"13","author":"J Onda","year":"1989","unstructured":"Onda J. A case report of \u201cpure\u201d acute subdural hematoma secondary to ruptured intracranial aneurysm. Kyukyu Igaku. 1989;13:631\u20134.","journal-title":"Kyukyu Igaku"},{"key":"1682_CR21","doi-asserted-by":"publisher","first-page":"681","DOI":"10.4103\/0028-3886.105226","volume":"60","author":"S Paramasivam","year":"2012","unstructured":"Paramasivam S, Fifi JT, Chong JY. Tentorial subdural hemorrhage as a presentation of intracranial aneurysm rupture: a rare event. Neurol India. 2012;60:681\u20132.","journal-title":"Neurol India"},{"key":"1682_CR22","doi-asserted-by":"publisher","first-page":"173","DOI":"10.2176\/nmc.cr.2017-0147","volume":"58","author":"R Sasaki","year":"2018","unstructured":"Sasaki R, Motoyama Y, Nakagawa I, Park YS, Nakase H. Asymptomatic penetration of oculomotor nerve by internal carotid-posterior communicating artery aneurysm presenting pure acute subdural hematoma: a case report. Neurol Med Chir (Tokyo). 2018;58:173\u20137.","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"1682_CR23","first-page":"27","volume":"8","author":"K Satoh","year":"1999","unstructured":"Satoh K. Intracranial aneurysm presenting as acute subdural hematoma without subarachnoid hemorrhage: report of three cases. Hokkaido No Shinkei Shikkan Kenkyujo Ishi. 1999;8:27\u201331.","journal-title":"Hokkaido No Shinkei Shikkan Kenkyujo Ishi"},{"key":"1682_CR24","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/0149-936X(83)90036-X","volume":"7","author":"JP Williams","year":"1983","unstructured":"Williams JP, Josyln JN, White JL, Dean DF. Subdural hematoma secondary to ruptured intracranial aneurysm: computed tomographic diagnosis. J Comput Tomogr. 1983;7:149\u201353.","journal-title":"J Comput Tomogr"},{"key":"1682_CR25","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/j.inat.2019.04.001","volume":"17","author":"RK Sharma","year":"2019","unstructured":"Sharma RK, Yamada Y, Kawase T, Kato Y. To clip or coil? Proposal of individual decision making. Interdiscip Neurosurg. 2019;17:124\u20138.","journal-title":"Interdiscip Neurosurg"},{"key":"1682_CR26","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1136\/jnnp-2011-302139","volume":"84","author":"JM Biesbroek","year":"2013","unstructured":"Biesbroek JM, van der Sprenkel JW, Algra A, Rinkel GJ. Prognosis of acute subdural haematoma from intracranial aneurysm rupture. J Neurol Neurosurg Psychiatry. 2013;84:254\u20137.","journal-title":"J Neurol Neurosurg Psychiatry"}],"container-title":["BMC Neurology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12883-020-01682-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12883-020-01682-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12883-020-01682-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,19]],"date-time":"2022-10-19T02:47:16Z","timestamp":1666147636000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcneurol.biomedcentral.com\/articles\/10.1186\/s12883-020-01682-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,18]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1682"],"URL":"https:\/\/doi.org\/10.1186\/s12883-020-01682-8","relation":{},"ISSN":["1471-2377"],"issn-type":[{"value":"1471-2377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,18]]},"assertion":[{"value":"14 September 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 March 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 March 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"A written consent for publication was obtained from the patient including individual details, and images.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"102"}}