Abstract
To the Editor: We present a rare case of bifrontal hematoma resulting in death caused by a spontaneously ruptured aneurysm of the anterior communicating artery (ACoA). The hematoma was in the shape of a thick crescent, and the aneurysm was revealed on computerized tomography (CT) and CT angiography. A 60-year-old man suffering from hypertension and diabetes mellitus was admitted to the emergency service after having lost consciousness following vomiting and urinary incontinence. Examination revealed a systolic blood pressure of 220 mm Hg and a diastolic blood pressure of 120 mm Hg. He had a tachypneic and irregular respiration. His score on the Glasgow Coma Scale was 5 (E1M3V1). Both of his pupils were middilated, and direct and indirect light reflexes were decreased; deep tendon reflexes were decreased in all extremities, and he had a bilateral positive Babinski sign. He was admitted directly to …
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