Abstract: Objective Acute subdural hematoma originating from ruptured cerebral aneurysms is rare.To investigate the diagnosis and management of this condition is the purpose of the article.Methods Nine cases of acute subdural hematoma due to cerebral aneurysm rupture confirmed by cerebral angiography and surgery were reviewed retrospectively.Patients were evaluated using the Glasgow Coma Scale(GCS) in terms of their consciousness.The original sites of the aneurysms repure were detected with DSA.Evacuation of hematoma and clipping of aneurysms were performed in these patients.Results 3 cases recovered completely,3 cases remained neurological deficiency,2 cases died postoperatively.Conclusion Acute subdural hematoma due to ruptured cerebral aneurysm is rare and fatal.Timely subdural hematoma removal and aneurysml clipping surgery should be performed for such patients.

Key words: subdural hematoma, aneurysms