Left middle cerebral artery aneurysm with massive intracranial haemorrhages

Case contributed by Dr Abdallah Alqudah

Presentation

Severe headache, vomiting followed by sudden loss of consciousness.

Patient Data

Age: 65 years
Gender: Male

Extensive brain haemorrhage with intracerebral, intraventricular and subarachnoid components seen.

Large area of vasogenic oedema with effacement of the sulci and crowded foramen magnum seen.

There is rightward midline shift
 

CTA showed a left sided MCA aneurysm in the M1 segment, containing a focus of calcification.
 

Selective left common carotid arteriogram, superselective, left ICA arteriogram, confirms the presence of large bilobed aneurysm arising from the left M1.

Case Discussion

This is a massive brain haemorrhage with intracerebral, intraventricular and subarachnoid components. The size of haemorrhage mandates looking for an aneurysm, in this case, it was obvious in the M1 segment of the left MCA.

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Case information

rID: 56624
Case created: 13th Nov 2017
Last edited: 14th Nov 2017
Inclusion in quiz mode: Excluded

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