Intracranial Vasospasm After Evacuation of Acute Spontaneous Subdural Hematoma

Cerebral vasospasm is a well-known entity following aneurysmal subarachnoid hemorrhage. While it has been described in trauma, much less studied. There have no previous reports of cerebral spontaneous subdural hematoma or after evacuation. In this case report, we present 38-year-old otherwise healthy female who suffered an acute hematoma. After surgical evacuation her hematoma, she developed neurologic decline. Computer tomography angiography demonstrated intracranial vasospasm. She was treated with blood pressure augmentation and nimodipine. went on to make full recovery. To our knowledge, the first reported evacuation, patient recovered without sequelae. The promising outcome may provide framework for future similar cases. Neurosurgeons intensivists should keep their differentials patients decline craniotomy negative scan new abnormality.