spontaneous intracranial haemorrhage from ruptured berry aneurysm
AI-generated summary
A 52-year-old woman with acquired brain injury from a prior stroke died from spontaneous intracranial haemorrhage due to a ruptured berry aneurysm. She experienced vomiting on the evening of 6 July, initially attributed to medication side effects. Staff monitored her overnight. Early the following morning, she became unresponsive with abnormal breathing. Paramedics were called and she was transported to hospital where CT imaging revealed extensive brain bleeding. The coroner found the death was from natural causes unrelated to the quality of disability care she received. Berry aneurysms are often asymptomatic until rupture and have no reliable prevention strategies. The clinical lesson is that sudden onset vomiting with altered consciousness warrants urgent neuroimaging to exclude intracranial pathology, though in this case the aneurysm was previously unknown and undetectable.
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Specialties
neurosurgeryemergency medicineintensive caredisability medicine
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