case_images: PMC10927172_01
case_images: (a) A non-contrast computed tomography scan showing scan axial section showed subarachnoid hemorrhage in the basal cistern with no predominant clue for the location of the ruptured aneurysm. (b) A mapping illustration showing the distance between Babylon and Baghdad with the time needed to reach the destination in a personal vehicle.
case_images: SNI-15-46-g001.jpg
case_images: PMC10927172_01_SNI-15-46-g001.jpg
case_images: F1
case_images: The initial non-contrast computed tomography (CT) scan showed subarachnoid hemorrhage (SAH) in the basal cistern [Figure 1]. Teaching Hospital) through a personal, non-equipped vehicle [Figure 1]. The family chose the latter option and arrived at our center. Hence, we opt to target the tandem right PComA aneurysm, the adjacent superior hypophyseal aneurysm, based on the location of SAH in the initial CT where we suspect the rupture has occurred on the right side [Figure 1].
case_images: 3D angiogram showing (a) right posterior communicating artery and right superior hypophyseal artery aneurysms. (b) Left posterior communicating artery aneurysm. (c) Right intraorbital ophthalmic artery aneurysm.
case_images: SNI-15-46-g002.jpg
case_images: PMC10927172_01_SNI-15-46-g002.jpg
case_images: F2
case_images: Those aneurysms included aneurysms in the right posterior communicating artery (PComA), superior hypophyseal artery, intraorbital ophthalmic arteries, and left PComA [Figure 2].