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A 47‐year‐old Hispanic man was evaluated at the emergency room due to the sudden onset of severe headache and nuchal rigidity. Unenhanced head computed tomography (CT) revealed subarachnoid hemorrhage (Fisher… Click to show full abstract
A 47‐year‐old Hispanic man was evaluated at the emergency room due to the sudden onset of severe headache and nuchal rigidity. Unenhanced head computed tomography (CT) revealed subarachnoid hemorrhage (Fisher II) and CT angiography showed multiple aneurysms located in the anterior communicating artery (ACoA), probably responsible for the origin of the bleeding, as well as the M1 segment and bifurcation of the right middle cerebral artery (MCA). Digital subtraction angiography (DSA) and thoracic CT angiography revealed a persistent trigeminal artery (PTA) Saltzman Type 1 and coarctation of the aorta artery (CoA) with significant dilatation of transverse cervical and suprascapular arteries [Figure 1]. During DSA, a complete embolization of the ruptured aneurysm was achieved, and the patient showed full recovery.
Journal Title: Surgical Neurology International
Year Published: 2019
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