Subarachnoid haemorrhage: ACOM pattern

Case contributed by Prof Peter Mitchell


Unconscious - GCS 3.

Patient Data

Age: 55
Gender: Female

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.

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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