Bilateral Cerebral Aneurysms

This is a very unfortunate case. A young gentlemen presented to ER after he was found unresponsive at home. No history of trauma/injury was reported.

CT head revealed massive sub arachnoid hemorrhage (not well visualized on the above image) as well as left hemisphere intracerebral hemorrhage (labeled blood).

CT angiography of the brain revealed large bilateral aneurysms - right one still intact and well seen and the left one is collapsed by the blood clot.

The patient had progressive deterioration in his neurological status and subsequently was declared brain dead.