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Witness a compelling case study involving a 57-year-old lady, a left-handed active smoker, presenting with sudden headache, nausea, jet vomiting, and neck pain—a classic clinical presentation of subarachnoid hemorrhage (SAH). The CT scan confirmed the diagnosis, revealing a ruptured MCA aneurysm treated by coiling. Additionally, an incidental finding of a bi-lobulated Acom aneurysm raised critical questions about treatment strategies. Join us as we delve into this intriguing case and explore the panel's insights on the optimal approach for managing such complex vascular pathologies.
