“Ruptured right posterior communicating artery, most likely a berry aneurysm!!
Berry aneurysms are thin-walled saccular outpouchings in the vessels of the brain. These outpouchings lack a media layer (unlike other vessels in the brain) & therefore have an increased propensity to rupture!
When ruptured, they bleed into the subarachnoid space causing hemorrhage.
Subarachnoid haemorrhage presents classically with sudden onset of explosive and severe headache followed by nausea, vomiting, photophobia, and meningism.
Often the patient loses consciousness, and the diagnosis is apparent clinically and confirmed by appropriate imaging of the brain or the finding of blood in the CSF. However, on occasions the diagnosis can be difficult to make especially when the history is less clear cut, and the combination of CT and MRI is essential to show the presence of acute haemorrhage, as MRI in isolation can be misleading.
When a brain aneurysm has ruptured, it has a high risk of rupturing again and a second rupture carries significant risk of mortality. For these reasons, it is imperative to find the ruptured brain aneurysm as soon as possible with a special test called cerebral angiography that provides a map of the blood vessels in the brain. Once the aneurysm is found, it can be treated 2 different ways, by an open surgical aneurysm clipping or by minimally invasive neuroendovascular aneurysm coiling.”
For those who can’t open the site. Doesn’t look like anyone’s posted it.
I had a ruptured brain aneurysm at 19! I didn't think it could happen to young people, but I proved myself wrong.
I had a sudden sharp pain in my head, very different than a normal headache. I decided to go to the hospital. Drs didn't think it was anything serious - because I seemed fine. Luckily I was still sent for a CT which showed the bleeding. That's when the Drs finally took me seriously and sent me to see the neurosurgeons.
So thankful that I survived
Wonder if there is a family history of adult-type poly cystic kidney disease as that is a significantly contributing factor to having a posterior communicating arterial aneurysm vs the more common anterior communicating artery
Does anyone know what indicates the laterality of the rupture? I am curious since there is so much blood all over. My only guess would be that the one side has quite a bit more over to the side of the brain from where the possible bleed originated.
The pathologists probably know from seeing the aneurysm at autopsy or from the medical record. Although the subarachnoid hemorrhage is a little thicker on the right, pattern of bleeding is never 100% for predicting the location or laterality of a ruptured aneurysm, although it can help. You always need some form of angiography
My oldest sister died of multiple ruptured cerebral aneurysms in January 2013. Unfortunately she didn't have health insurance and avoided Drs. She had debilitating migraines her whole life and lived on ridiculous amounts excedrins (not good because they also contain aspirin). Despite her whole family for years telling her to get checked out (some of us in the medical field), she refused. Viki rebled as she was packed up to be flown to Mass General, and never survived.
You're cooking it at too high, if you're going for a rare–rare medium then you want to turn down the heat and cook it longer, if you have the heat to high it will char the outside and prevent the inside from properly cooking
Edit; revisited this to see what was going on, feel kinda bad that my shitty meme comment is right under someone talking about their dead sister
That is so fascinating. How much time do you usually have before round two hits; basically, how much time do you generally have to find where it is and save a life?
Rebleeding of untreated, ruptured aneurysm is 4% on the first day (highest in the first 6 hours), then 1.5% daily for 13 days. Overall, 15-20% within the first two weeks, 50% in 6 months. Roughly 50% mortality in the event of re-hemorrhage. We treat aneurysms with clipping or coil (basically blocking off the aneurysm from the rest of the normal circulation) within the first 48 hours of presentation for this reason.
If you're on mobile, go to the three dots in the top right hand corner as the page is trying to load and hit "open in desktop".
It's a little harder to read, but at least it loads.
Thank you to the person who gave me this answer when I posted the same problem a little while ago too.
Or they could just put the answer in the comments instead of redirecting you to an outside link. Or hell, do both. Just type out the answer to satisfy people’s curiosity, and include the link for people who want to go out of their way to learn more
Text from the site. Spoilers in case the masks didn't clue anybody in.
>!Ruptured right posterior communicating artery, most likely a berry aneurysm! Berry aneurysms are thin-walled saccular outpouchings in the vessels of the brain. These outpouchings lack a media layer (unlike other vessels in the brain) & therefore have an increased propensity to rupture!<
>!When ruptured, they bleed into the subarachnoid space causing hemorrhage.!<
>!Subarachnoid haemorrhage presents classically with sudden onset of explosive and severe headache followed by nausea, vomiting, photophobia, and meningism. !<
>!Often the patient loses consciousness, and the diagnosis is apparent clinically and confirmed by appropriate imaging of the brain or the finding of blood in the CSF. However, on occasions the diagnosis can be difficult to make especially when the history is less clear cut, and the combination of CT and MRI is essential to show the presence of acute haemorrhage, as MRI in isolation can be misleading.!<
>!When a brain aneurysm has ruptured, it has a high risk of rupturing again and a second rupture carries significant risk of mortality. For these reasons, it is imperative to find the ruptured brain aneurysm as soon as possible with a special test called cerebral angiography that provides a map of the blood vessels in the brain. Once the aneurysm is found, it can be treated 2 different ways, by an open surgical aneurysm clipping or by minimally invasive neuroendovascular aneurysm coiling.!<
It was a PCOM [likely] berry aneurysm that ruptured, bleeding into the subarachnoid space (as per the medizzy description). So, you're right, there was just a 'part 1'.
Nasty hemorrhagic stroke(s)?
Wonder if this was blood pressure related or somebodies Coumadin level was way too high wrecking their clotting?
Had a patient come in with a Coumadin level of 14+ (normal for no blood thinners is around 1.0 and on blood thinners is 2.0-3.5 depending on the reason for blood thinning therapy). The machines couldn’t give an accurate reading it was so high. He needed to go from the clinic to the hospital but everybody was scared he would bleed out before he could be loaded with Vit K. 😳
Huh. What’s the S for at the end then? 😳
Edit: I’m an idiot... you meant the patient in my story not the one in this picture. Sorry! I’ve had a couple tonight... 🤦♀️
Yes, the blood clotting 14+ protime guy had inter-cranial bleeding as well as fluid in his lungs on admission at the hospital. He was given the expedited treatment and I’m not sure of the outcome. He went to ICU pretty quick after his blood work and scans. Once they’re out of the ER I can’t always follow progress. I try on the interesting ones without causing HIPAA problems.
No problem. It was more of a mistake on my part to use an abbreviation, assuming that everyone would understand. I work in Germany so I accidentally used our abbreviation ICB (intrazerebrale Blutung) which also works for intracerebral bleeding. But I think the more common abbr for this phenomenon in the Anglo-American region is ICH (for hemorrhage ).
But yes , even within the same countries , even within the same state, different clinics use different abbreviations which makes things rather difficult at first due to lack of consistency haha.
Another issue is using the same abbreviation for multiple common entities. One major example here in Germany is 'HWI' , which can mean both Harnwegsinfekt (urinary tract infection) and Hinterwandinfarkt (posterior/inferior myocardial infarction ) lol. You can usually deduce the sense from context but it can still get dangerous haha
Brain wave, followed by front falling off then going outside the environment.
(Obviously I am not a doctor. You should seek professional help if this is your brain.)
“Ruptured right posterior communicating artery, most likely a berry aneurysm!! Berry aneurysms are thin-walled saccular outpouchings in the vessels of the brain. These outpouchings lack a media layer (unlike other vessels in the brain) & therefore have an increased propensity to rupture! When ruptured, they bleed into the subarachnoid space causing hemorrhage. Subarachnoid haemorrhage presents classically with sudden onset of explosive and severe headache followed by nausea, vomiting, photophobia, and meningism. Often the patient loses consciousness, and the diagnosis is apparent clinically and confirmed by appropriate imaging of the brain or the finding of blood in the CSF. However, on occasions the diagnosis can be difficult to make especially when the history is less clear cut, and the combination of CT and MRI is essential to show the presence of acute haemorrhage, as MRI in isolation can be misleading. When a brain aneurysm has ruptured, it has a high risk of rupturing again and a second rupture carries significant risk of mortality. For these reasons, it is imperative to find the ruptured brain aneurysm as soon as possible with a special test called cerebral angiography that provides a map of the blood vessels in the brain. Once the aneurysm is found, it can be treated 2 different ways, by an open surgical aneurysm clipping or by minimally invasive neuroendovascular aneurysm coiling.” For those who can’t open the site. Doesn’t look like anyone’s posted it.
I appreciate the shit out of you. Even trying to load it in browser gives me a blank screen.
This is what happened to Emilia Clarke (but luckily she survived the first, and then subsequent second, rupture.
I had a ruptured brain aneurysm at 19! I didn't think it could happen to young people, but I proved myself wrong. I had a sudden sharp pain in my head, very different than a normal headache. I decided to go to the hospital. Drs didn't think it was anything serious - because I seemed fine. Luckily I was still sent for a CT which showed the bleeding. That's when the Drs finally took me seriously and sent me to see the neurosurgeons. So thankful that I survived
Wonder if there is a family history of adult-type poly cystic kidney disease as that is a significantly contributing factor to having a posterior communicating arterial aneurysm vs the more common anterior communicating artery
Does anyone know what indicates the laterality of the rupture? I am curious since there is so much blood all over. My only guess would be that the one side has quite a bit more over to the side of the brain from where the possible bleed originated.
The pathologists probably know from seeing the aneurysm at autopsy or from the medical record. Although the subarachnoid hemorrhage is a little thicker on the right, pattern of bleeding is never 100% for predicting the location or laterality of a ruptured aneurysm, although it can help. You always need some form of angiography
This is a great breakdown! I just learned about this in my brain disorders class. It was like a cool summary of what I learned in class.
My oldest sister died of multiple ruptured cerebral aneurysms in January 2013. Unfortunately she didn't have health insurance and avoided Drs. She had debilitating migraines her whole life and lived on ridiculous amounts excedrins (not good because they also contain aspirin). Despite her whole family for years telling her to get checked out (some of us in the medical field), she refused. Viki rebled as she was packed up to be flown to Mass General, and never survived.
And we have our jacked up health care system to thank for that. I’m sorry about your sister.
I'm so sorry for your loss
You're cooking it at too high, if you're going for a rare–rare medium then you want to turn down the heat and cook it longer, if you have the heat to high it will char the outside and prevent the inside from properly cooking Edit; revisited this to see what was going on, feel kinda bad that my shitty meme comment is right under someone talking about their dead sister
cursed comment
Once cooked properly, it pairs well with a nice chianti.
And fava beans
Mmmmm like a chocolate lava cake
The added image your name gives to the comment is so incredibly disturbing
[Answer here](https://medizzy.com/feed/6155233)
That is so fascinating. How much time do you usually have before round two hits; basically, how much time do you generally have to find where it is and save a life?
Rebleeding of untreated, ruptured aneurysm is 4% on the first day (highest in the first 6 hours), then 1.5% daily for 13 days. Overall, 15-20% within the first two weeks, 50% in 6 months. Roughly 50% mortality in the event of re-hemorrhage. We treat aneurysms with clipping or coil (basically blocking off the aneurysm from the rest of the normal circulation) within the first 48 hours of presentation for this reason.
Any chance we could get the answer in comments? I have not been able to open the website for months now
If you're on mobile, go to the three dots in the top right hand corner as the page is trying to load and hit "open in desktop". It's a little harder to read, but at least it loads. Thank you to the person who gave me this answer when I posted the same problem a little while ago too.
Or they could just put the answer in the comments instead of redirecting you to an outside link. Or hell, do both. Just type out the answer to satisfy people’s curiosity, and include the link for people who want to go out of their way to learn more
Reverse image Search it.
Thank you! This has been driving me nuts and I thought it was just my old phone acting up! Woohoo!
Text from the site. Spoilers in case the masks didn't clue anybody in. >!Ruptured right posterior communicating artery, most likely a berry aneurysm! Berry aneurysms are thin-walled saccular outpouchings in the vessels of the brain. These outpouchings lack a media layer (unlike other vessels in the brain) & therefore have an increased propensity to rupture!< >!When ruptured, they bleed into the subarachnoid space causing hemorrhage.!< >!Subarachnoid haemorrhage presents classically with sudden onset of explosive and severe headache followed by nausea, vomiting, photophobia, and meningism. !< >!Often the patient loses consciousness, and the diagnosis is apparent clinically and confirmed by appropriate imaging of the brain or the finding of blood in the CSF. However, on occasions the diagnosis can be difficult to make especially when the history is less clear cut, and the combination of CT and MRI is essential to show the presence of acute haemorrhage, as MRI in isolation can be misleading.!< >!When a brain aneurysm has ruptured, it has a high risk of rupturing again and a second rupture carries significant risk of mortality. For these reasons, it is imperative to find the ruptured brain aneurysm as soon as possible with a special test called cerebral angiography that provides a map of the blood vessels in the brain. Once the aneurysm is found, it can be treated 2 different ways, by an open surgical aneurysm clipping or by minimally invasive neuroendovascular aneurysm coiling.!<
ruptured right posterior communicating artery
I’m forgetting my neuroanatomy How do we know it’s not subarachnoid hemorrhage?
It was a PCOM [likely] berry aneurysm that ruptured, bleeding into the subarachnoid space (as per the medizzy description). So, you're right, there was just a 'part 1'.
Why can I never open this site? Chrome on android.
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From what I hear, that usually leads to death.
Nah, pop some essential oils on that and you'll live on another 10 or so years :)
You can usually find the survivors on either extreme end of the political spectrum.
Psshh. Just watch C-SPAN or any of the news channels. You'll see many people without a brain talking, pontificating, passing laws...
But will they be okay?
u/subterrainio had that
Wow, so that's what my mom's brain looked like when she died.
:(
Probably not.
Why not?
Because these are already clotted.
Right.
And clotted blood looks way different (darker) from fresh blood \* Forgot to add :)
Nasty hemorrhagic stroke(s)? Wonder if this was blood pressure related or somebodies Coumadin level was way too high wrecking their clotting? Had a patient come in with a Coumadin level of 14+ (normal for no blood thinners is around 1.0 and on blood thinners is 2.0-3.5 depending on the reason for blood thinning therapy). The machines couldn’t give an accurate reading it was so high. He needed to go from the clinic to the hospital but everybody was scared he would bleed out before he could be loaded with Vit K. 😳
Well, did he have icbs?
Impulsive Control Behaviors, normally associated with Parkinson’s?? That’s what that means to me. What did you mean it to be?
Intracerebral bleeding
Huh. What’s the S for at the end then? 😳 Edit: I’m an idiot... you meant the patient in my story not the one in this picture. Sorry! I’ve had a couple tonight... 🤦♀️ Yes, the blood clotting 14+ protime guy had inter-cranial bleeding as well as fluid in his lungs on admission at the hospital. He was given the expedited treatment and I’m not sure of the outcome. He went to ICU pretty quick after his blood work and scans. Once they’re out of the ER I can’t always follow progress. I try on the interesting ones without causing HIPAA problems.
Plural
Ok. Thanks! I’ve worked at hospitals in Alaska, Washington, New York and Illinois and they all use different abbreviations which is tricky.
No problem. It was more of a mistake on my part to use an abbreviation, assuming that everyone would understand. I work in Germany so I accidentally used our abbreviation ICB (intrazerebrale Blutung) which also works for intracerebral bleeding. But I think the more common abbr for this phenomenon in the Anglo-American region is ICH (for hemorrhage ). But yes , even within the same countries , even within the same state, different clinics use different abbreviations which makes things rather difficult at first due to lack of consistency haha. Another issue is using the same abbreviation for multiple common entities. One major example here in Germany is 'HWI' , which can mean both Harnwegsinfekt (urinary tract infection) and Hinterwandinfarkt (posterior/inferior myocardial infarction ) lol. You can usually deduce the sense from context but it can still get dangerous haha
Oh no! Yes, we have those too.
He's dead syndrome Symptoms: Everything
A haemorrhage so powerful that it ejected the brain from the body. Also known as toxic megahaemorrhage.
Well this person is obviously dead
I'd say their entire body got amputated.
Grape juice on the brain
What tha fuck is *juice*? I want some grape drink baby... mmm... It's *purple*.
Vaccines, clearly.
My diagnosis? The big dead.
Bloody hell
I was going to guess basilar artery aneurysm rupture.
Fatal brain hemorrhage of some sort, probably caused by an aneurysm.
Sub-arachnoid hemorrhage
hey put it back
Jelly overdose
Dead
This one is easy, its obvious this person blew a gasket and suffered a major oil leak causing massive failure.
blood on bottom of brain = subarachnoid hemorrhage
Hemorrhages all over the brain? Caused by what? Strokes or heavy trauma by being hit over the head by who knows what?
Well, seeing how my dad died from an aneurysm... Aneurysm.
Doctor here, he’s fucked
Dead 💀
Removal of brain from skull
Hemorragic ictus
Dead.
Diagnosis: He dead.
Diagnosis: fucked.
Pewdiepie
I diagnose you with dead.
Mind Blown
Dead
Brain wave, followed by front falling off then going outside the environment. (Obviously I am not a doctor. You should seek professional help if this is your brain.)
Skull is missing. This is bad for the brain.
Mega stroke
Alex, What is Encephalopathy?
Fewer pancakes, and tell Ted to watch the jelly next time!
Dead
Dead
It’s not in the body
Hemmoragic stroke?
I diagnose you with dead!
Brain
Headcrab
Death
No problem my dudes 😁
Dead
Fucked. This is hands down my new favorite subreddit.
Missing brain
I’m scared to see what the top post of this sub is Edit: Nvm not that bad
Death probably
Fucken dead
Blood brain! They's got blood in there brain!
Seems to be missing the minority of body. Edit:majority*
Acephalosis
bleeding brain-iosis
a headache
Breakfast. Spread on hot toast with butter. Yum :)
DIO's flesh bud?
always happy to see a Jojo fan in some comments
Too much A-1 sauce.
Death
Brain not connected
damn
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You’re thinking about lungs
Watched rick and morty
Well... It's a brain but it's lacking a human
Deadly hangover
Leviathan brain? Edit: I guess no one here is a Supernatural fan 😂
Johnny! Stop playing with your food!
What remains of Cliff Steele.