PICA aneurysm with pure primary intraventricular hemorrhage

Case contributed by Dr Gregor Savli

Presentation

Patient who had plasmocytoma, platelet count of 80 and INR 1.3, preseneted with coma, GCS 3.

Patient Data

Age: 70
Gender: Male

Almost pure primary intraventricular hemorrhage was seen on initial non-contrast scan. There is only a small amount of blood in cerebellopontine cistern. There was no blood elsewhere.

On CTA, the cause was identified - a small, 3.5 mm wide, left PICA aneurysm or maybe pseudoaneurysm (patient unfortunatelly expired prior to DSA) in its supratonsillar segment, which manifested itself as a pure intraventricular hemorrhage. 

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Case Information

rID: 24896
Case created: 18th Sep 2013
Last edited: 8th Feb 2017
Inclusion in quiz mode: Included

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