Emergency #15 – Flashcard EDiR Holders 7 years ago 62-year-old female. * Sudden collapse * Headache * Paresis of mouth left-sided * Pupil difference L>R What is the most likely diagnosis? What should be the next diagnostic step? Diagnosis: PCOM aneurysm subarachnoid bleed (with subdural hematoma, intraventricular bleed, midline shift, hydrocephalus) Next step:CTA (you already see aneurysm on NECT) Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook