Ruptured basilar tip aneurysm
Discussion:
An otherwise healthy woman complained of a severe headache that started that same morning. Blood pressure taken at the ED was 210 mmHg systolic. She was sent for a CT head-CTA neck and head arteries, for fear that a subarachnoid haemorrhage was the cause of her headache.
CT head showed extensive subarachnoid bleeding, as well as signs of brain oedema and mild hydrocephalus, while the CTA revealed a small basilar tip aneurysm.
The aneurysm was successfully coiled, and the patient recovered promptly and uneventfully.
An MRI head done 3 months later showed only subtle haemosiderin deposits on SWI.
Related articles:
- Basilar artery aneurysm
- Cerebral aqueduct (of Sylvius)
- Hydrocephalus (summary)
- Interhemispheric fissure
- Magnetic susceptibility artifact
- Perimesencephalic subarachnoid haemorrhage
- Posterior cerebral artery
- Premedullary cistern
- Subarachnoid cisterns
- Subarachnoid haemorrhage
- Sulcal effacement
- Sylvian cistern
- Sylvian fissure
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