Patient Information:

• Name: Mrs. Hu
• Diagnosis: Aneurysm (Giant Posterior Communicating Artery Aneurysm)
• Date of Birth (D.O.B): March 20, 1954
• Gender: Female
• Country: China

Treatment: Neurosurgery at Beijing Puhua International Hospital (BPIH)

Medical History:

Mrs. Hu, a 58-year-old woman from China, was admitted to BPIH on April 29, 2007, after experiencing sudden unconsciousness while bathing. She had been unresponsive for two days prior to arrival.

Pre-Operative Condition:

• Sudden onset of unconsciousness
• No verbal response; unable to communicate
• Urinary and fecal incontinence
• Two episodes of non-projectile vomiting containing gastric contents only
• Slight to no movement of the right limbs, with improved left limb mobility after 30 minutes
• Cerebral CT scan: Subarachnoid hemorrhage (SAH) and high-density shadows (free blood) in brain areas
• Routine Blood Test: WBC 9.4×10^9/L, NE 81.6%, RBC 3.5×10^12/L, Hgb 114g/L, HCT 34%, PLT 136×10^9/L
• Diagnosis: Ruptured cerebral aneurysm

Surgical Repair:
Under general anesthesia, the surgical team performed:

• Clipping of the giant posterior communicating artery aneurysm via a left frontal-temporal approach
• Resection of the aneurysmal sac
• Total operation time: six hours

Post-Operative Condition:

• Stable vital signs with no severe postoperative complications
• Gradual recovery of consciousness
• No further episodes of vomiting or loss of consciousness
• Discharge status: conscious, oriented, and able to communicate normally with family and others

Follow-Up:
Post-operative cerebral CT scans revealed no abnormal signs.

Pre-Operative Scan: