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Department of Neurosurgery. Erciyes Univesity Medical School. Kayseri/ TURKİYE Acute spontaneous subdural haematoma of arterial origin is very are. We report such a case who presented with sudden severe headache and vomiting rapidly becoming comatose. The patient was hypertensive but had no history of head trauma. and the source of bleeding was identified as a cortical artery located near the sylvian region. Comparable cases in the literature are reviewed and the aetiological and pathophysiological possibilities are discussed. Keywords : Arterial subdural haematoma. spontaneous haematoma