PMC5017288_01
Initial CT scan showing the region of the bleed.
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Computed tomography (CT) scan of the head showed focal intra cerebral hemorrhage in the medial basifrontal region and subarachnoid hemorrhage (SAH) in the inter-hemispheric and in the left sylvian fissure ( Figure 1).
CT head showing evidence of re-bleed in the previous territory along with ventricular extension.
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CT scan showed re-bleed in the left medial basifrontal region with ventricular extension (Graeb score of 8/12) ( Figure 2).
Diagnostic angiography showing the presence of blind left A1 aneurysm.
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Conventional cerebral angiography showed delayed filling of a 9.6 mm x 6.8 mm aneurysm arising from the proximal part of the left anterior cerebral artery without a discrete neck ( Figure 3).
Angiography revealing both A2's supplied by the right A1.
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A2 segments were filled via the right anterior cerebral artery ( Figure 4).
Post-operative angiography showing complete obliteration of the blind aneurysm.
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Angiographic follow up after 3 months showed complete obliteration of the aneurysm ( Figure 5; Figure 6).
Angiography showing both A2's supplied from the right A1.
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Angiographic follow up after 3 months showed complete obliteration of the aneurysm ( Figure 5; Figure 6).