Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm
Illustrative case: Panels (a–d) display axial CT scans with 3D reconstructions showing a right acute subdural hematoma with midline shift after rupture of a giant aneurysm located in the right middle cerebral artery. Panels (a) and (b): noncontrast-enhanced and contrast-enhanced axial CT scan, demonstrating a large aneurysm in the right silvian fissure with surrounding SAH, right-sided aSDH, and uncal herniation. Panel (c) shows a marked midline shift due to the mass effect of the aSDH. Panel (d) depicts the aneurysm with outgoing vessels.