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