Presentation
Terrible headache of acute onset. GCS reduced.
Patient Data
Age: 40 years
Gender: Male
From the case:
Subarachnoid hemorrhage - MCA aneurysm rupture
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Diffuse sub-arachnoid hemorrhage throughout both cerebral hemispheres.
Large hematoma centered on the M1-M2 segment of the right middle cerebral artery. A 'filling defect' is visible within the clot, suggesting the culpable aneurysm.
The basal cisterns contain blood as does the ventricular system.
Mild left temporal horn dilatation.
Case Discussion
Typical appearances of a subarachnoid hemorrhage.
The location of the hematoma is highly suggestive of a MCA aneurysm, which was subsequently proven on catheter angiography.
The aneurysm underwent surgical clipping.
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