• Guilherme Finger, Otávio Garcia Martins, Luciano Silveira Basso, Tobias Ludwig do Nascimento, Felipe Lourenzon Schiavo, Cezimbra Dos Santos Samir S Neurosurgery Department of Cristo Redentor Hospital, Porto Alegre, Brazil., and Marco Antonio Stefani.
• Neurosurgery Department of Cristo Redentor Hospital, Porto Alegre, Brazil; Graduate Program in Medicine: Surgical Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. Electronic address: guilhermefingermd@gmail.com.
• World Neurosurg. 2018 Nov 1; 119: 146-150.

BackgroundAcute subdural hematomas are frequently seen in brain trauma-injured patients. However, spontaneous subdural hematomas are uncommon, especially those localized in the posterior fossa, where fewer than 10 case reports have been described in the medical literature.Case DescriptionWe describe a patient who suddenly had a headache and progressed rapidly to coma and signs of brainstem compression. She was diagnosed with posterior fossa subdural hematoma after image examinations that were endorsed by surgical findings. A posterior fossa craniectomy was performed and was associated with blood drainage.ConclusionsThe patient had a great outcome, with no neurologic deficits at hospital discharge and the 1-year follow-up.Copyright © 2018 Elsevier Inc. All rights reserved.

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