PMC6452425_01
(a) MRI FLAIR axial images showing cortical and subcortical white matter
signal changes in both frontal lobes compatible with bilateral frontal lobe
acute infarctions in the anterior cerebral artery territory. (b) Restriction
in DWI in both frontal lobes compatible with bilateral frontal lobe acute
infarctions.
10.1177_2050313X19841151-fig1.jpg
PMC6452425_01_10.1177_2050313X19841151-fig1.jpg
fig1-2050313X19841151
(a) MRI T1 coronal images showing subacute heamorrhage (red arrows) in the
anterior communicating artery area. (b-d) SWI showing loss of signal in the
anterior communicating artery area (red arrows) suggestive of
haemorrhage.
10.1177_2050313X19841151-fig2.jpg
PMC6452425_01_10.1177_2050313X19841151-fig2.jpg
fig2-2050313X19841151
ACA. A recent bleed at the anterior communicating artery (AComA) was also evident in MRI (Figure 2(a)) and susceptibility weighted imaging (SWI) (Figure 2(b)).
DSA images: red arrow shows possible ruptured anterior communicating artery
aneurysm. Black arrows show 3.2 mm x 2 mm left MCA aneurysm.
10.1177_2050313X19841151-fig3.jpg
PMC6452425_01_10.1177_2050313X19841151-fig3.jpg
fig3-2050313X19841151
She was then subjected to digital subtraction angiogram (DSA) (24 days after the onset of headache), which revealed a possible ruptured aneurysm of AComA (Figure 3). Furthermore, a left-sided MCA saccular aneurysm (3.2 mm x 2 mm) was also detected (Figure 3).