Ruptured intracranial aneurysm: small aneurysm with large haemorrhage

Case contributed by Dr Pawel Piotrowicz

Presentation

Sudden loss of consciousness with seizure. High blood pressure.

Patient Data

Age: 65 years
Gender: Female

Massive SAH extending into brain parenchyma and ventricular system.

After contrast media administration an irregular 5 x 4 mm ACom aneurysm was visualised. 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.

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Case information

rID: 55937
Case created: 1st Oct 2017
Last edited: 3rd Oct 2017
Inclusion in quiz mode: Included
Institution: Rydygier's Regional Hospital in Torun, Poland

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