RT Book, Section A1 Mascia, Luciana A1 Mazzeo, Anna Teresa A1 Bilotta, Federico A1 Fanelli, Vito A2 Lee, Kiwon SR Print(0) ID 1143957321 T1 Acute Respiratory Distress Syndrome T2 The NeuroICU Book, 2e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071841443 LK neurology.mhmedical.com/content.aspx?aid=1143957321 RD 2024/03/28 AB A 53-year-old hypertensive woman (actual body weight, 70 kg; height, 160 cm) was admitted to the hospital with coma (Glasgow Coma Scale E1+M3+V1t) after acute onset ictal headache. Computed tomography (CT) of the head showed subarachnoid hemorrhage with severe intraventricular extension and right temporal intraparenchymal hematoma (Figure 43-1). Cerebral angiography demonstrated 2 aneurysms of the carotid siphon, at the origin of posterior communicating arteries, bilaterally, with likely bleeding from the right one (9 mm diameter, neck 3.5 mm). An external ventricular drain was placed, the blood pressure was controlled with nicardipine drip, and the patient underwent endovascular coiling of the right carotid artery aneurysm.