AI Article Synopsis
- A 58-year-old male experienced sudden headache, loss of consciousness, and vomiting, leading to severe quadriparesis and a GCS score of 8, requiring intensive care.
- Imaging revealed two brain aneurysms: a 12x7 mm fusiform aneurysm in the anterior cerebral artery and a 3.3x2.8 mm saccular aneurysm in the basilar artery, indicating a need for surgical intervention.
- Post-surgery, the patient showed improvement in mobility and consciousness, with a notable recovery in neurological function over three months, highlighting the challenges of treating complex brain conditions.
Article Abstract
We present the case of a 58-year-old male with a 3-day history of sudden onset headache, loss of consciousness, and uncontrolled vomiting. The patient had 3/5 quadriparesis and a Glasgow coma scale (GCS) score of 8, which merited neurocritical intensive care. Brain imaging suggested the presence of two lesions: (i) a fusiform aneurysm of 12 × 7 mm in an accessory A2 artery of the anterior cerebral artery and (ii) an unruptured saccular aneurysm of 3.3 × 2.8 mm in the distal segment of the basilar artery. He was deemed a candidate for microsurgical management. Postoperatively, he had 4/5 quadriparesis, paresis of the right oculomotor nerve, and a GCS score of 13. A 3-month follow-up showed a significant improvement in neurological function with a score of 2 on the modified Rankin scale. The presented case illustrates the relevance of a nuanced acquaintance to operate in diseased anatomical variants and complex pathologies of narrow corridors.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10795898 | PMC |
| http://dx.doi.org/10.1093/jscr/rjad742 | DOI Listing |
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