Concluded Case

Multiple aneurysms Rt ICA,left ICA and left M1 segment of MCA

New Case 50 yr,F ,presented with abrupt onset of severe head ache without vomiting or vertigo developed on 4th of this month. She was evaluated and admitted at local hospital, CT brain was done and then transferred to our hospital for further management after 2 days. Known hypertensive pn regular med. On exam ,vitals stable BP 160/ 90mmhg.fully concious,communicating well .No focal deficits. No neck stiffness. Diagnosis and management?

4 Likes

LikeAnswersShare
Concluded answer

Thanks Curofy and others who answered the case. CT with CTA: * Thin SAH in bilateral frontoparietal cortical sulci,interhemispheric fissure,and bilateral sylvian fissures. * Wide necked Saccular aneurysm arising from the Rt Supraclinoid ICA,with a test directed anteriorly. * Saccular aneurysm arising the left supraclinoid ICA and another from proximal M1 segment of Left MCA. Neurosurgeon discussed the management with the relatives regarding the coiling of Rt ICAaneurysm and flow diversion of left ICA aneurysm.Relatives opted for surgery at Govt MCH due to financial constraints

All Answers

Thanks Curofy and others who answered the case. CT with CTA: * Thin SAH in bilateral frontoparietal cortical sulci,interhemispheric fissure,and bilateral sylvian fissures. * Wide necked Saccular aneurysm arising from the Rt Supraclinoid ICA,with a test directed anteriorly. * Saccular aneurysm arising the left supraclinoid ICA and another from proximal M1 segment of Left MCA. Neurosurgeon discussed the management with the relatives regarding the coiling of Rt ICAaneurysm and flow diversion of left ICA aneurysm.Relatives opted for surgery at Govt MCH due to financial constraints

Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Cerebral anurysm Neurocysticarcosis Tuberculoma Lacunar infarct Opinion of neurologist

Thank you doctor
0

Acute SAH . Multiple aneurysm in bilateral ACA With suggested rupture of rt sided aneurysm

I agree
0

SAH Probably r ACom, in vessel imaging there is possibility of aneurysm on left side also

Sah minimalwith paraclinoidanurysms one of it bled. coiling may be attempted

Haemorrhage in right side. Aneurysm bleed -of right anterior communicating artery

Cerebral anurysm. Haemorrhage in rt side.

Cerebellar haemorrhage

Diseases Related to Discussion