Patient with aneurysm and subarachnoid hemorrhage. Cerebral | Figure 1

Patient with aneurysm and subarachnoid hemorrhage. Cerebral arteriography, insertion of coils in aneurysm to prevent from rupturing.

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Continuation of the HSA Case
After the patient had placed the external ventricular shunt, the patient was referred to the endovascular treatment center where a cerebral vessel arteriography was performed with the use of a 3D reconstruction to reduce the time of examination and contrast in the patient where A baby aneurysm was diagnosed in the bifurcation of the carotid artery and another ruptured bilocular aneurysm of the large neck in the right middle cerebral artery, which caused HSA.
Thus, we started the endovascular treatment with the use of a balloon microcatater to stabilize and help to place the micromoles within the large neck aneurysm with greater precision and without the risk of them entering the light of the middle cerebral artery and obstructing the same causing further damage Greater in the patient and close the aneurysm as soon as possible, thus reducing cerebral bleeding.
After placing the micromoles in the ruptured aneurysm we removed the microballoon and performed a final arteriography to visualize the aneurysm closure and if we did not have any evident damage in the vessels of the middle cerebral where everything was within normality and the aneurysm was successfully treated .
Diagnostic conclusion: right hemisphere HSA caused by acute middle cerebral artery aneurysm bleeding treated.


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calcific density lesion suggestive of an #Aneurysm at the supra clinoid part of the internal carotid artery with a sizable Lt frontoparietal intra cerebral #Hematoma as well as related #Subarachnoid-hemorrhage](https://app.figure1.com/case-detail/746edaf1-38b2-4a19-a1fd-fef74aa4714d)