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The patient is a 46-year-old man with many vascular risk factors such as obesity with dyslipidemia and hypertension. He also had a myocardial infarct without cardiological follow-up and presented with sudden onset of headache and vomiting. The CT showed a clear subarachnoid hemorrhage, but the angiogram was normal.
Three days later, the patient developed a severe coma with a Glasgow of 3. He underwent a new angiogram after an external shunt, which showed a probable dissection of the basilar artery.
Discover the final diagnosis and management strategy chosen by the surgical team in this recorded case.
