Case report (observe CT images and endovascular treatment at | Figure 1

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Case report

Female patient, 59-year-old female smoker, arrives at the emergency room in a coma after suffering faintness at home. After first aid and neurological evaluation, she was referred for a CT scan of the skull, revealing extensive hemorrhage in the territory of the right brain hemisphere with small midline deviation due to significant hydrocephalus.

Conclusion: Bleeding likely associated with a ruptured cerebral aneurysm in the middle cerebral artery territory. The patient was referred to surgery for external ventricular shunt placement to alleviate hydrocephalus and then to endovascular treatment center for cerebral arteriography for further evaluation and possible treatment.

Continuation of the case

Images and evaluations

Axial diffusion-weighted image shows restricted diffusion corresponding to the vascular territory of the middle cerebral artery, hypointense on T1-weighted imaging, and increased perfusion in the affected area consistent with luxury perfusion.

Continuation of the HSA case: The patient underwent endovascular treatment with balloon microcatheter to stabilize the micromoles in the large neck aneurysm to avoid further damage. Final arteriography showed successful aneurysm treatment with no evident damage in middle cerebral vessels.

Diagnostic conclusion: Right hemisphere HSA caused by acute middle cerebral artery aneurysm bleeding treated.

Case for clinical and radiological evaluation of a 36-year-old female patient who presented with acute headache, followed by fainting and recent memory loss. CT of the skull diagnosed HSA in the occipital lobe.

This 27-year-old female patient reported high-intensity headaches with constant use of alcohol and drugs. Radiological images show various points of gliosis and stenosis in the bilateral carotid arteries.