Subarachnoid hemorrhage and left anterior cerebral artery aneurysm

Case contributed by Dr Mohamed Hossam el Deen

Presentation

Presented to ER department with a sudden onset severe headache for 1 hour, frequent vomiting and syncopal episodes. Headache present for 5 days but deteriorated today. Drowsy with mild neck stiffness. Left sided weakness with motor power 4/5, positive Babinski sign on left side.

Patient Data

Gender: Male

CT brain with IV contrast showing saccular aneurysm at ACA. There is also subarachnoid space haemorrhage in non-contrast images.

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Case information

rID: 47015
Case created: 27th Jul 2016
Last edited: 22nd Jun 2017
Inclusion in quiz mode: Excluded

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