Presentation
Severe thunderclap-type headache and projectile Vomiting.
Patient Data
Acute subarachnoid hemorrhage is seen in the right temporoparietal distribution within the right Sylvian fissure and adjacent sulci and extending to the right basal cisterns.
Evidence of saccular aneurysm in the supra clinoid segment of the right internal carotid artery at the region of its bifurcation into MCA, ACA, and posterior communicating artery, measuring about 7x4 mm.
The annotated images clarify the study findings.
Case Discussion
A 40-year-old lady with a history of lap cholecystectomy 3 days ago, had a sudden severe thunderclap-type headache and projectile vomiting and came to ER department. CT studies show recent subarachnoid hemorrhage secondary to a ruptured internal carotid artery saccular aneurysm.
The patient underwent coil embolization of the ruptured aneurysm. Then decompressive craniotomy and hematoma evacuation were done in the next two days.
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