Perimesencephalic subarachnoid hemorrhage

Case contributed by Yuliia Solodovnikova
Diagnosis certain

Presentation

Acute, unbearable headache and nausea. Nuchal rigidity and Babinski sign bilaterally. No history of cardiovascular disease.

Patient Data

Age: 50 years
Gender: Female

CT scans show hyperdensity in the interpeduncular and suprasellar cisterns. CT-angiography confirms the presence of the basal artery fusiform aneurysm.

Case Discussion

Subarachnoid hemorrhage due to the rupture of the basal artery fusiform aneurysm.

Successfully managed with conservative therapy.

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