Subarachnoid haemorrhage: ACOM pattern

Case contributed by Prof Peter Mitchell

Presentation

Unconscious - GCS 3.

Patient Data

Age: 55
Gender: Female
Modality: CT

There is a very large volume of subarachnoid blood evident on non-contrast imaging within the suprasellar cistern and anterior interhemispheric fissure. Local intraparenchymal extension on the left adjacent to the dome and daughter ACOM aneurysm shown on CTA.

Modality: DSA (angiography)

Right ACOM aneurysm projecting to left with daughter aneurysm at dome indicating site of intraparenchymal rupture.  First image in stack is post balloon assisted coil embolisation.

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Case Information

rID: 34460
Case created: 22nd Feb 2015
Last edited: 29th Aug 2016
Inclusion in quiz mode: Included

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