Presentation
Sudden loss of consciousness with seizure. High blood pressure.
Patient Data
Age: 65 years
Gender: Female
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Massive SAH extending into brain parenchyma and ventricular system.
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After contrast media administration an irregular 5 x 4 mm ACom aneurysm was visualized. On the upper surface of the aneurysm there are two Murphy's teats - signs of the recent rupture of the aneurysm.
Case Discussion
An aneurysm with a diameter of less than 7 mm has a very low chance of rupture but as shown in this case, even such a small lesion can cause a severe medical condition.