Hemorrhage 09
83 yo Female with previous (one year earlier) subarachnoid hemorrhage related to a left MCA aneurysm: this was treated with endovascular device. Patient now presents with acute headache and change in mental status consistent with suspected recurrent SAH. Parenchymal hemorrhages that originate along a cisternal surface and them dissect into the parenchyma are unusual. Therefore, when there is a cisternal (basilar) subarachnoid hemorrhage and a parenchymal hemorrhage occurring concurrently, it should be considered that the two events are connected. CT, MR

Hemorrhage - Case 9 Head CT

83 yo Fe with previous one (year earlier) subarachnoid hemorrhage related to a left MCA aneurysm: this was treated with endovascular device. Patient now presents with acute headache and change in mental status consistent with suspected recurrent SAH.

Hemorrhage - Case 9 CTA

83 yo Fe with previous one (year earlier) subarachnoid hemorrhage related to a left MCA aneurysm: this was treated with endovascular device. Patient now presents with acute headache and change in mental status consistent with suspected recurrent SAH.

Hemorrhage - Case 9 MR T1-w pre contrast

83 yo Fe with previous (one year earlier) subarachnoid hemorrhage related to a left MCA aneurysm: this was treated with endovascular device. Patient now presents with acute headache and change in mental status consistent with suspected recurrent SAH.

Hemorrhage - Case 9 MR T2-w

83 yo Female with previous (one year earlier) subarachnoid hemorrhage related to a left MCA aneurysm: this was treated with endovascular device. Patient now presents with acute headache and change in mental status consistent with suspected recurrent SAH.

Hemorrhage - Case 9 MR flair

83 yo Female with previous (one year earlier) subarachnoid hemorrhage related to a left MCA aneurysm: this was treated with endovascular device. Patient now presents with acute headache and change in mental status consistent with suspected recurrent SAH.

Hemorrhage - Case 9 MR SWI

83 yo Female with previous (one year earlier) subarachnoid hemorrhage related to a left MCA aneurysm: this was treated with endovascular device. Patient now presents with acute headache and change in mental status consistent with suspected recurrent SAH.