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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

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
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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

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Nil.




Publication History

Received: 01 February 2021

Accepted: 19 May 2021

Article published online:
16 August 2022

© 2021. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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