Presentation
Severe headache and recurrent vomiting of 3 days duration
Patient Data
Age: 58 years old
Gender: Male
From the case:
Subarachnoid hemorrhage
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Hyperintense fluid in all pulse sequences seen filling and expanding the left sylvian fissure and adjacent sulci.
A small middle cerebral artery saccular aneurysm is identified in post contrast study.
Diagnosis: Subarachnoid hemorrhage due to rupture aneurysm
Case Discussion
Differentials for hyperintensity at subarachnoid space includes
- fat droplet in rupture dermoid cyst.
- hemorrhage in subarachnoid hemorrhage (SAH)
- meningitis and meningeal carcinomatosis
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