Case 18 – History


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Case 18

Decomposition, history of clipped cerebral aneurysm


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Brief History

The patient was a middle-aged Latino man with history of clipped cerebral aneurysm approximately five years prior (presenting at that time with headache), obesity and recent dyspnea on exertion and recent headache.

The patient died suddenly after an unwitnessed cardiopulmonary arrest.


Next: External exam

Discussion Questions

1. Summarize the history and make a differential diagnosis for the cause of death.

2. What is the differential diagnosis for headache?

3. How are cerebral aneurysms diagnosed?

4. How commonly are cerebral aneurysms multiple?

5. If the patient’s cerebral aneurysm surgery was five years prior, how likely is his recent headache related to the surgical site?