Spinal Subdural Hematoma Secondary to Ruptured Internal Carotid Artery Ophthalmic Segment Aneurysm: A Case Report and Narrative Review.

Autor:	Ibrahim B; Faculty of Medicine, Division of Neurosurgery, Department of Special Surgery, Al-Balqa Applied University, Al-Salt, JOR., Al-Khawaldeh M; Department of Interventional Neuroradiology, Jordanian Royal Medical Service, Amman, JOR., Abu Sirhan LA; Faculty of Medicine, Al-Balqa Applied University, Al-Salt, JOR., Arabyat A; Faculty of Medicine, Al-Balqa Applied University, Al-Salt, JOR., Abdallah RA; Faculty of Medicine, Al-Balqa Applied University, Al-Salt, JOR., Hiasat MY; Division of Neurosurgery, Department of Special Surgery, Neuron Clinics, Amman, JOR., Nadi M; Faculty of Medicine, Division of Neurosurgery, Department of Special Surgery, Al-Balqa Applied University, Al-Salt, JOR., Dabbas WF; Faculty of Medicine, Division of Neurosurgery, Department of Special Surgery, Al-Balqa Applied University, Al-Salt, JOR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Aug 06; Vol. 16 (8), pp. e66283. Date of Electronic Publication: 2024 Aug 06 (Print Publication: 2024).
DOI:	10.7759/cureus.66283
Abstrakt:	Spinal subdural hematoma (SSDH) is a rare condition where the exact pathology is unclear; coagulopathy, bleeding disorders, trauma, and iatrogenic causes are frequently associated with SSDH. SARS-CoV-2 infection and COVID-19 vaccines are unusual causes of SSDH, as reported by multiple studies. Here, we present a rare case report and a narrative review of SSDH resulting from a ruptured cerebral aneurysm. A 53-year-old female presented with an acute, severe suboccipital headache and neck and back pain without radiculopathy. Investigations for cardiovascular diseases and brain images were unremarkable. Further investigation revealed an SSDH extending from T1 to S2. Negative spinal angiography led to a cerebral angiogram, identifying an internal carotid artery ophthalmic segment aneurysm that was successfully treated with endovascular stent-assisted coiling. This case scenario of anterior circulation cerebral aneurysmal rupture manifesting as an isolated SSDH is unique compared to previously reported cases of SSDH resulting from cerebral aneurysms. This case highlights the importance of considering aneurysmal rupture in SSDH cases with no apparent underlying pathology to prevent neurological deficits. Early detection and intervention in such cases can prevent serious neurological deficits and improve patient outcomes. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Ibrahim et al.)
Databáze:	MEDLINE
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