case_images: PMC4828946_01
case_images: (a) Admission computed tomography scan showing temporal lobe hemorrhage. (b) Admission computed tomography scan: Note nodular hyperdensity in front of hemorrhage
case_images: SNI-7-214-g001.jpg
case_images: PMC4828946_01_SNI-7-214-g001.jpg
case_images: F1
case_images: A nodular hyperdense frontotemporal image anterior to a large left side predominantly temporal hematoma associated to edema and signs of subfalcine and transtentorial herniation, and a midline shift of approximately 6 mm [Figure 1]. An urgent magnetic resonance imaging (MRI) revealed aneurysm of 2, 5 cm in diameter, with partially thrombosed content associated to a large left temporal hematoma [Figure 2].
case_images: (a) Contrast enhanced axial magnetic resonance imaging: Partially thrombosed pseudoaneurysm. (b) Coronal T2 magnetic resonance imaging of lesion
case_images: SNI-7-214-g002.jpg
case_images: PMC4828946_01_SNI-7-214-g002.jpg
case_images: F2
case_images: A nodular hyperdense frontotemporal image anterior to a large left side predominantly temporal hematoma associated to edema and signs of subfalcine and transtentorial herniation, and a midline shift of approximately 6 mm [Figure 1]. An urgent magnetic resonance imaging (MRI) revealed aneurysm of 2, 5 cm in diameter, with partially thrombosed content associated to a large left temporal hematoma [Figure 2].
case_images: (a) Anteroposterior view of angiography showing distal left middle cerebral artery pseudoaneurysm. (b) Lateral view of angiography
case_images: SNI-7-214-g003.jpg
case_images: PMC4828946_01_SNI-7-214-g003.jpg
case_images: F3
case_images: Digital subtraction angiography revealed dissection of the parietal-occipital branch of the left MCA and large pseudoaneurysm [Figure 3].
case_images: Immediate postoperative scan showing aneurysms clips and complete drainage of hemorrhage and no apparent signs of ischemia
case_images: SNI-7-214-g004.jpg
case_images: PMC4828946_01_SNI-7-214-g004.jpg
case_images: F4
case_images: Immediate postoperative CT scan showed complete drainage of the temporal bleeding and less midline shift than the previous scan [Figure 4].