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Entries in subarachnoid (1)

Thursday
Jan122012

A collapse into coma and a ruptured right internal carotid artery aneurysm

Symptoms: A patient was found down in coma.

Imaging:  Diffuse subarachnoid hemmorrhage and hydrocephalusCerebral angiogram revealing aneurysm of supraclinoid carotid.

Treatment: Right external to internal carotid artery bypass with clip trapping of dissecting internal carotid artery segment.  Graft donor vessel: right radial artery. 

Radial artery to M2 graft.