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Full recovery of Akinetic Mutism after corpus callosum infarction in post subarachnoid hemorrhage of ruptured distal anterior cerebral artery aneurysm

Ibrahim Alnaami and Saeed A. Alqahtani
Neurosciences Journal October 2020, 25 (5) 412-415; DOI: https://doi.org/10.17712/nsj.2020.5.20200071

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Figures

  • Figure 1
    Figure 1

    Digital subtraction angiography a) AP view and b) oblique view of right internal carotid artery injections depicting right DACA aneurysm. c) axial computed tomography of the brain prior to coiling andafter external ventricular drain being inserted (black arrow) showed small area of hypodensity in corpus callosum (white arrow). d) 3D CT angiography of cerebral vessels in oblique view, reveled hypoplastic left anterior cerebral artery (long white arrow) and the aneurysm (short white arrow).

  • Figure 2
    Figure 2

    Post coiling MRI a) axial T1 FLAIR b) sagittal T2, and c) axial ADC sequence MRI of the brain revealed infarction of the whole body of corpus callosum.

  • Figure 3
    Figure 3

    follow-up angiogram a) AP view shows coils mass inside the aneurysm, and b) lateral internal carotid artery injection depicting embolized aneurysm with mild vasospasm in the distal anterior cerebral artery.

  • Figure 4
    Figure 4

    Timeline of the course of the management of 23-year-old male who developed akinetic mutism after rupture of distal anterior cerebral artery aneurysm.

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