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Updated: Mar 6, 2026

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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
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Ruptured berry aneurysm with minimal subarachnoid hemorrhage
Tyler J Gardner1, Joseph A Prahlow1
1Western Michigan University Homer Stryker M.D. School of Medicine, Department of Pathology, United States.
Journal of Forensic and Legal Medicine
|March 9, 2017
Summary
Ruptured cerebral aneurysms can cause subdural hemorrhage without significant subarachnoid hemorrhage. This case highlights that atypical presentations of ruptured berry aneurysms are possible and important for diagnosis.
Area of Science:
- Neurology
- Pathology
- Forensic Medicine
Background:
- Cerebral artery aneurysm rupture typically presents with subarachnoid hemorrhage.
- Subdural hemorrhage is more commonly associated with trauma, but can occur with ruptured aneurysms.
- Atypical presentations of ruptured aneurysms can be diagnostically challenging.
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