Hematoma of cavum septum pellucidum by ruptured aneurysm

Fresnel Lutèce Ontsi Obame, Abad Chérif El Asri

PAMJ. 2023; 46:39. Published 27 Sep 2023 | doi:10.11604/pamj.2023.46.39.37692

A 57-year-old male patient, with no past medical history, was admitted with sudden-onset headaches, vomiting, and loss of consciousness. A neurological examination revealed disorientation. His pupils were equal and reactive to light. He had purposeful responses of all extremities. The blood pressure was 200/100 mmHg. Complete blood counts and coagulation profiles were normal. Unenhanced cerebral computed tomography (CT) showed corpus callosum hematoma, septum pellucidum hematoma, and intraventricular flooding corresponding to Fisher grade 4 subarachnoid hemorrhage. Cerebral angiography showed an anterior communicating artery aneurysm, suggesting the diagnosis of subarachnoid hematoma (SAH) due to a rupture of an anterior communicating artery aneurysm. An external ventricular shunt was placed. Afterward, the patient was treated by endovascular embolization the next day.
Corresponding author
Fresnel Lutèce Ontsi Obame, Department of Neurosurgery, Mohammed V Military Teaching Hospital, Rabat, Morocco (ontsiobamef1@gmail.com)

The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

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