case_images: PMC8492431_01
case_images: NCCT brain showing SAH in the interhemispheric fissure and bilateral sylvian fissure.
case_images: SNI-12-471-g001.jpg
case_images: PMC8492431_01_SNI-12-471-g001.jpg
case_images: F1
case_images: CT scan brain showed SAH in the interhemispheric fissure and bilateral Sylvian fissures (modified Fischer grade-2) with visible temporal horns suggestive of hydrocephalous [Figure 1]. CT angiography brain [Figure 2] was suggestive of a 3 x 4 mm saccular aneurysm arising from the anterior communicating artery without surrounding hematoma or active bleed.
case_images: Preoperative CT angiography was showing an anterior communicating artery aneurysm.
case_images: SNI-12-471-g002.jpg
case_images: PMC8492431_01_SNI-12-471-g002.jpg
case_images: F2
case_images: CT scan brain showed SAH in the interhemispheric fissure and bilateral Sylvian fissures (modified Fischer grade-2) with visible temporal horns suggestive of hydrocephalous [Figure 1]. CT angiography brain [Figure 2] was suggestive of a 3 x 4 mm saccular aneurysm arising from the anterior communicating artery without surrounding hematoma or active bleed.
case_images: MRI brain showing multiple focal infarcts.
case_images: SNI-12-471-g003.jpg
case_images: PMC8492431_01_SNI-12-471-g003.jpg
case_images: F3
case_images: (a) Fundus on postoperative day 3: Normal vessels, disc margins (b) well-defined disc with attenuation of blood vessels fundus picture on 15th postoperative day.
case_images: SNI-12-471-g004.jpg
case_images: PMC8492431_01_SNI-12-471-g004.jpg
case_images: F4
case_images: The fundus examination was normal on post-op day-3 [Figure 4a], and fundus showed attenuated vessels with mild pallor on the 15th day postoperative [Figure 4b]. The decompressive craniotomy was done because of developing infarct and the patient showed improvement in neurological condition but remain aphasic and the left eye AFPD persisted.