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August 16, 2026Journal of Cerebrovascular and Endovascular NeurosurgeryOpen Access

Recurrent nontraumatic acute subdural hematoma secondary to ruptured accessory meningeal artery aneurysm: A case report and literature review

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Authors

JBJen Nee BongTYTeck Cheng YapSTShze Ee Tan

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Overview

Case report reveals a ruptured accessory meningeal artery aneurysm as the occult cause of recurrent nontraumatic subdural hematoma, highlighting the need for digital subtraction angiography.

Key Points

  • To describe the diagnosis and successful endovascular management of recurrent nontraumatic acute subdural hematoma caused by an occult accessory meningeal artery aneurysm.
  • Evaluated a 36-year-old hypertensive male presenting with spontaneous acute-on-chronic subdural hematoma and early post-surgical recurrence.
  • Utilized computed tomography angiography, emergency decompressive craniectomy, digital subtraction angiography, and endovascular coil embolization.
  • Initial computed tomography angiography failed to detect the vascular lesion, leading to recurrent acute subdural hematoma one week after surgical evacuation.
  • Digital subtraction angiography successfully identified a saccular accessory meningeal artery aneurysm, and endovascular coil embolization achieved complete occlusion with total neurological recovery.

Cite This Study

Bong et al. (2026) studied this question.

synapsesocial.com/papers/6a81794cf2fb91fc834ac615https://doi.org/10.7461/jcen.2026.e2026.07.003
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acute Subdural Hematoma Secondary to Paraclinoid Internal Carotid Aneurysm with Rebleeding following Angiography2026
  2. 2Recurrence of chronic subdural hematoma caused by contralateral middle meningeal artery supply: a rare presentation2026
  3. 3Spontaneous Subdural Haematoma as a Rare Presentation of Ruptured Vascular Lesions: A Case Report of Three Patients2025
  4. 4Characteristics of a Pure Acute Subdural Hematoma Caused by Intracranial Aneurysm Rupture: A Case Report and Review of Literature2024 · 3 citations
  5. 5Traumatic Middle Meningeal Artery Aneurysm: A Rare Cause of Recurrent Acute Epidural Hematoma. A Case Report2024