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A 48-year-old woman with a 3T brain MRI confirmed the presence of an unbromed cystic substrate aneurysm of 20mm.
high-resolution aneurysm WALL MRI visible chronic wall thrombosis and surrounding aneurysm wall reinforcement (figure), which is an imaging marker of aneurysm instability.
two days, the patient developed a brief lightning strike-like headache, considered the worst headache ever recorded.
3T MRI visible acute wall bleeding, no cobweb hemorrhage in the lower cavity.
A 1/4 patient before an aneurysm rupture reports an outpostinel headache, which can be interpreted as a warning of oozing from the subcavity cavity of the cobweb or structural wall changes such as stretching or acute wall bleeding.
(Figure: A: Magnetic resonance vascular imaging shows a large substrate aneurysm; a comparison of high-resolution angiocytic wall imaging conducted before and during an outpost headache, AD-E, shows that aneurysm wall hematoma can be manifested as a T1 new-moon high signal and reinforcement of the arrow, as well as visible thickening of the ring aneurysm wall fortification; F-G: digital aneurysm embolism before and after the aneurysm.