Case Eight
Images:

Selected images are shown below. Click to enlarge.

 
CT Scan Angiogram
Clinical History:

This 57-year-old man had the onset of a severe headache ("worst ever") and neck stiffness. He had speech and visual difficulties.

Physical Examination:

The patient was in marked distress. He had dysarthria, and diplopia, with a left 3rd nerve palsy.
 
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