A 24year male presented to us in emergency with sudden onset loss of consciousness followed by seizures. Patient was intubated and CT head was done which revealed SDH right FTP region, and temporal haematoma and SAH. CT angio revealed aneurysm distal to ICA bifurcation and proximal to MCA BIFURCATION. Patient was operated via right Forto-temporoparital craniotomy with clipping of aneurysm which was arising from junction of large lenticulostriate branch of right MCA just proximal to bifurcation. Patient was discharged after one month after surgery without GCS of E4VtM6 with left hemiparesis and is still recovering.
Fig 1-4.CT ANGIOGRAPHY SHOWING aneurysm distal to ICA bifurcation and proximal to MCA BIFURCATION. Lenticulostriate artery aneurysm.
Fig5 plain CT images showing temporal haematoma with SAHIL AND SDH.
FIG 6 CT ANGIOGRAPHY SHOWING LENTICOSRIATE ARTERY MCA JUNCTION ANEURYSM.
FIG 6 and 7. POST operative scans