Case Notes
History
64 yo female with acute onset headache, blurred vision, slurred speech, and hearing impairmentExam
CTA
Prior Study
CT head1. Focal intra and extraaxial hemorrhage in the left frontal parenchyma and adjacent interhemipheric fissure. The combination suggest an underlying A-com aneurysm with likely prior sentinel bleed.
2. Left fronto-temporal subdural hematoma, likely secondary to a fall after SAH
3. Left frontal region mass effect has caused a 5 mm left to right shift and produced early right lateral ventricular hydrocephalus.