An unusual case of spontaneous subarachnoid haemorrhage - a ruptured aneurysm of a basilar perforator artery.
A 51-year-old gentleman with no significant past medical history presented with a WFNS grade 1 subarachnoid haemorrhage. Initial angiographic investigations revealed no cause, but repeat tests showed a small basilar perforator aneurysm. Following a failed attempt at endovascular treatment, a craniotomy and excision of the aneurysm was performed. Post-operatively the patient made a good recovery. This case highlights the importance of delayed repeat catheter angiography in selected patients with suspicious initial CT head results.
Department of Neurosurgery, Institute of neurological sciences, Southern General Hospital, Glasgow, UK. calan@doctors.org.uk
Calan S
CS
Mathieson
Philip
P
Barlow
Sarah
S
Jenkins
Zoltan
Z
Hanzely
D017542:Aneurysm, Ruptured / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001488:Basilar Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D002533:Cerebral Angiography; D003399:Craniotomy; D004621:Embolization, Therapeutic / Q000379:methods; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome