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
