PMC9945769_01
CT Head showing left frontal hematoma with extension into subarachnoid space.
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Stroke alert was called with a National Institute of Health Stroke Scale of 3 and CT head showed 2.7 cm left frontal hematoma with extension into the subarachnoid space (Fig. 1).
CT angiogram showing Inferior middle cerebral artery aneurysm. MCA = Middle Cerebral Artery.
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On the cerebral angiogram, there was evidence of a 5 mm intracranial aneurysm (Fig. 2) arising from a bifurcation point along the inferior middle cerebral artery; embolization and coil placement was done.
Midesophageal short axis view showing aortic valve with vegetation on non-coronary cusp and thickening of right coronary cusp.
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This finding was consistent in the transesophageal echocardiography which confirmed a vegetation in the non-coronary cusp of the valve (Fig. 3, Fig. 4).