International Journal of Neurology and Brain DisordersInternational Journal of Neurology and Brain DisordersInternational Journal of Neurology and Brain DisordersInternational Journal of Neurology and Brain Disorders2377-1348Ommega Online PublishersNew Jersey, USA24610.15436/2377-1348.15.014Research ArticleMirror Image Subarachnoid Haemorrhage: An Unusual Presentation of Internal Carotid Artery AneurysmMirror Image Subarachnoid Haemorrhage: An Unusual Presentation of Internal Carotid Artery AneurysmDaljit SinghDepartment of Neurosurgery G B Pant Institute of Postgraduate Medical Education amp Research New Delhi India Editor* E-mail: drdaljit@hotmail.com
The authors have declared that no competing interests exist.
20152206201521IJNBD-15-RW-246/01417052015180620152015Creative Commons Attribution LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. nbsp emsp emsp We report a case of a patient who was referred to us for the treatment of right internal carotid supraclionoid aneurysm with subarachnoid haemorrhage on right side In the evening before surgery the patient had severe headache and loss of consciousness Computed tomography scan of head revealed subarachnoid haemorrhage on the left side A suspicion of a mirror aneurysm arose Patient underwent digital subtraction angiography which showed same right internal carotid artery supraclionoid aneurysm which had increased in size This is the first description of mirror subarachnoid haemorrhage which happened with a single aneurysm and is different from mirror aneurysm The aneurysm was treated with endovascular coiling A review of pathophysiology radiological imaging clinical manifestations and management is presented and discussed 10