Bilateral Spontaneous Acute Subdural Hematoma of the Posterior Fossa Case ReportSpina, Alfio MD; Boari, Nicola MD; Gagliardi, Filippo MD; Mortini, Pietro MDNeurosurgery Quarterly: May 2016 - Volume 26 - Issue 2 - p 154–157 doi: 10.1097/WNQ.0000000000000136 Case Reports Buy Abstract Author InformationAuthors Article MetricsMetrics Spontaneous intracranial hemorrhage is a major complication of anticoagulant therapy, with a report of 0.3% to 0.7% per year. Spontaneous posterior fossa acute subdural hematomas are very rare; to the best of our knowledge, only 10 cases have been previously reported in the literature. We report a further case with unusual radiologic findings in a thrombocytopenic and anticoagulated patient. We review the pertinent literature and discuss athe current management of this pathological entity. Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy The authors declare no conflict of interest. Reprints: Alfio Spina, MD, Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Via Olgettina 60, Milano 20132, Italy (e-mail: email@example.com). Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.