Acute Subdural Haematoma due to Ruptured Posterior Communicating Artery Aneurysm: A Rare Presentation

Abstract

Acute Subdural Haemorrhage (SDH) frequently arises as a complication after head trauma, often resulting in sudden loss of consciousness and neurological impairments in an individual who was previously healthy [1]. Uncommonly, a ruptured aneurysm may present with SDH. Among these cases, a ruptured aneurysm at the junction of the Internal Carotid Artery (ICA) and the Posterior Communicating Artery (Pcom) stands out as the most common site associated with this uncommon spontaneous acute SDH [2]. This manuscript documents imaging and endovascular management of a rare case of a ruptured Pcom aneurysm presenting as acute SDH. The purpose of presenting this case was to underscore awareness of this condition, helping to prevent diagnostic and therapeutic errors

Keywords

• balloon-assisted coiling
• digital subtraction angiography
• ptosis