Case of the Month
Case 3
Joseph L. Nates, M.D.
Assistant Professor
Stephen Koch, M.D.*
Associate Professor
Departments of Anesthesiology* and Neurosurgery
Memorial-Hermann Hospital
University of Texas Medical School-Houston
Houston, Texas
The correct citation of this article for reference is:
Nates J, Koch S: Case of the Month; Case 3. The Internet Journal of Emergency and Intensive Care Medicine 1999; Vol3 N2: http://www.ispub.com/journals/IJEICM/Vol3N2/case3.htm. Published July 1, 1999; Last Updated July 1, 1999.
A four-vessel angiogram on admission to the emergency room showed multiple cerebral aneurysms and was transferred to our institution. Her past medical history included untreated arterial hypertension and chronic renal failure. On the second day, she was intubated due to respiratory distress. The same day, the patient underwent clipping of 2 of her 5 aneurysms (anterior communicating and right middle cerebral) without complications.
The routine post-operative CT brain on day 8….
Was followed by this finding on day 15….
The above changes were associated with these physical changes:
On the 12th day
On the 16th day
On the 18th day
On the 21st day
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