Ghost aneurysm in atraumatic acute subdural hematoma: A sign of caution or a mere finding – A case report

Apratim Chatterjee; Gaurav Goel; Piyush Ojha; Anshu Mahajan; Anirban Bannerjee

doi:10.4103/ajns.AJNS_560_20

Asian Journal of Neurosurgery, Table of Contents

CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(03): 587-588
DOI: 10.4103/ajns.AJNS_560_20

Case Report

Ghost aneurysm in atraumatic acute subdural hematoma: A sign of caution or a mere finding – A case report

Authors

Apratim Chatterjee

Department Of Neurointervention Surgery, Medanta Medicity, Gurgaon, Haryana
Gaurav Goel

Department Of Neurointervention Surgery, Medanta Medicity, Gurgaon, Haryana
Piyush Ojha

Department Of Neurointervention Surgery, Medanta Medicity, Gurgaon, Haryana
Anshu Mahajan

Department Of Neurointervention Surgery, Medanta Medicity, Gurgaon, Haryana
Anirban Bannerjee

Department Of Neurointervention Surgery, Medanta Medicity, Gurgaon, Haryana

Abstract

Atraumatic subdural bleed often presents with diagnostic and management dilemma. This is a case of a 36-year male who presented with acute onset headache while at rest without any focal neurodeficit. Computed Tomographic Scan of brain revealed subdural hematoma. Cerebral Digital Subtraction Angiography showed a same sided focal dye extravasation which corresponded exactly to the inner margin of the subdural bleed. Though the patient opted out for surgical management this imaging and DSA finding correlated with the “Ghost Aneurysm” concept in acute atraumatic subdural bleeds and its early recognition is an important imaging marker for caution for hematoma expansion.

Key-words:

Atraumatic - ghost aneurysm - subdural hematoma

Full Text

References

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