PMC8492431_01
NCCT brain showing SAH in the interhemispheric fissure and bilateral sylvian fissure.
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F1
CT scan brain showed SAH in the interhemispheric fissure and bilateral Sylvian fissures (modified Fischer grade-2) with visible temporal horns suggestive of hydrocephalous [Figure 1]. CT angiography brain [Figure 2] was suggestive of a 3 x 4 mm saccular aneurysm arising from the anterior communicating artery without surrounding hematoma or active bleed.
Preoperative CT angiography was showing an anterior communicating artery aneurysm.
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F2
CT scan brain showed SAH in the interhemispheric fissure and bilateral Sylvian fissures (modified Fischer grade-2) with visible temporal horns suggestive of hydrocephalous [Figure 1]. CT angiography brain [Figure 2] was suggestive of a 3 x 4 mm saccular aneurysm arising from the anterior communicating artery without surrounding hematoma or active bleed.
MRI brain showing multiple focal infarcts.
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F3
(a) Fundus on postoperative day 3: Normal vessels, disc margins (b) well-defined disc with attenuation of blood vessels fundus picture on 15th postoperative day.
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F4
The fundus examination was normal on post-op day-3 [Figure 4a], and fundus showed attenuated vessels with mild pallor on the 15th day postoperative [Figure 4b]. The decompressive craniotomy was done because of developing infarct and the patient showed improvement in neurological condition but remain aphasic and the left eye AFPD persisted.