Princess Alexandra Hospital

Gd V SAH ACOM aneurysm Severe neurogenic pulmonary oedema and shock over first 5 days precluded coiling
Aneurysm remains unsecured
- Identification of cause of collapse
- EVD
- Blood stained CSF
- -Raised A-a gradient
- Nimodipine infusion
Areas of weakness identified by examiners:
- Inability to perform a proper CNS examination
- Not being able to state a clear GCS
- Missing the presence of an EVD
- Lack of a management plan: - family discussion, prognostication