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Aneurysmal Subarachnoid Hemorrhage

  • Charu Mahajan
  • Indu Kapoor
  • Hemanshu Prabhakar
Chapter
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Abstract

A 64-year-old female was brought to the emergency department of a tertiary care center by his son. She was apparently alright till 10 h back when she complained of sudden onset of severe headache followed by two episodes of vomiting and transient loss of consciousness. She was a known hypertensive for last 15 years, on Tab amlodipine 10 mg BD. On examination, patient had a GCS score of E4V5M6 (drowsy), with pupils bilaterally equal in size and reacting to light. There was presence of neck rigidity with no other motor/sensory deficits. Heart rate—92/min, BP—178/102 mmHg, SpO2—95% on face mask with oxygen flow @ 6 L/min. Chest and CVS examination findings were normal. Samples for lab testing were sent. Noncontrast CT head revealed blood in the right sylvian fissure. Cerebral DSA was carried out which confirmed the presence of right middle cerebral artery (M1) aneurysm 5.23 × 3.42 × 2.32 mm.

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Copyright information

© The Editor(s) (if applicable) and The Author(s)  2020

Authors and Affiliations

  • Charu Mahajan
    • 1
  • Indu Kapoor
    • 1
  • Hemanshu Prabhakar
    • 1
  1. 1.All India Institute of Medical SciencesNew DelhiIndia

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