Case of June 2017

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Clinical History:

A 37-year-old female patient who enjoyed good past health, presented with sudden onset of headache and vomiting for 1 day. There was no complaint of limb weakness or numbness. Physical examination showed full GCS score with normal hemodynamics. No focal neurological sign was detected. Urgent plain CT brain showed acute intraventricular hemorrhage. CT angiogram of the circle of Willis and DSA cerebral angiogram were subsequently performed.

Plain CT Brain

 

CT angiogram of the Circle of Willis

Right ICA DSA lateral projection

Right ICA DSA PA projection

Right ECA DSA lateral projection

Right ECA DSA PA projection

Right VA DSA lateral projection

Right VA DSA Towne projection