Abstract
We report a rare case of ruptured superior cerebellar artery (SCA) aneurysm causing subarachnoid hemorrhage (SAH) with supratentorial intracerebral hematoma (ICH). A 48-year-old male suffered from sudden unconsciousness and right hemiplegia. Computed tomography scans revealed diffuse SAH with ICH extending from the left side of the upper pons and the left cerebral peduncle to the left basal ganglia. An angiogram demonstrated a left SCA aneurysm located in the anterior pontine segment, which was projecting up in a supratentorial direction. To avoid uncontrollable premature bleeding and excessive retraction of the brain, a coil embolization followed by hematoma evacuation was performed. The patient's consciousness level became clear, although he was suffering from aphasia and right hemiplegia (modified Rankin scale 4). Coil embolization followed by hematoma evacuation proved to be a very useful and safe technique in the present case.
