title: More than one dilemma.
abstract: We present an unusual case that highlights a number of management dilemmas: the cause, investigation and treatment of subarachnoid hemmorrhage in patients iwth vascular connective tissue diseases; the further investigation of small aneurysms identified on CT angiography; and the difficulties associated with anticoagulation, mechanical cardiac valves and cerebral hemorrhage.
authors.affiliation: Department of Neurology, Royal Brisbane and Women's Hospital, and Department of Medicine, University of Queensland, Queensland, Australia. Robert_Henderson@health.ql.gov.au
authors.forename: Robert D
authors.initials: RD
authors.lastname: Henderson
authors.forename: David G
authors.initials: DG
authors.lastname: Walker
authors.forename: Ken
authors.initials: K
authors.lastname: Mitchell
authors.forename: Stephan J
authors.initials: SJ
authors.lastname: Read
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D000925:Anticoagulants / Q000008:administration & dosage; D002561:Cerebrovascular Disorders / Q000209:etiology; D004535:Ehlers-Danlos Syndrome / Q000150:complications; D006350:Heart Valve Prosthesis; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D008297:Male; D010138:Pacemaker, Artificial; D018570:Risk Assessment; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000925:Anticoagulants