CT
What is the next step in patient management?
Digital substraction angiography (DSA) and interventional coiling of the MCA aneurysm should be performed. Additionally, treatment of hydrocephalus with insertion of an external ventricular drainage is necessary.
Aneurysm extending from the middle cerebral artery (MCA) bifurcation of about 5 mm extending in a latero-antero-caudate direction.