A.com Aneurysm

History:-

38 yr old gentleman admitted with c/c of

· Sudden onset of severe occipital headache 1 day back, associated with stiffness of neck

· No significant past history

Examination:-

· WFNS grade-1

· Neck rigidity

Investigations:-

· NCCT head showed diffuse SAH, Fisher grade-3

· CT angiography-A.Com. aneursm with right A1 hypoplasia

Treatment:-

· Left fronto-temporal trephine craniotomy with aneurysmal clipping done under GA

Post-operative period:-

· Uneventful