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A 55 year-old man developed the lightening onset of an explosive headache followed by nausea and vomiting.
Axial CT Scans without contrast: Note the bright areas which signify blood. Most of the blood is in the interhemispheric fissure in the low frontal area. This is the typical location of bleeding from an anterior communicating artery aneurysm. Cerebral angiography is always needed to identify an aneurysm location, but in some cases, the location of the blood can help localize the bleeding.
Revised
05/01/06.
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School of Medicine.