Bleeding is a warning indication for many patients and persistent or recurrent hemorrhage leads to visit critical care facility. Brain computed tomography should be used to check for a ruptured aneurysm or an underlying SAH. The following are some of the methods for determining the underlying cause of SAH: Computed tomography angiography, magnetic resonance angiography and digital subtraction angiography are the 3 types of angiographies. A 36-years-old male was referred to the critical care department of our tertiary care teaching hospital with a complaint of severe frontal headache and vomiting from past 2 days. He had history of HTN and was not on any medication. Brain CT-SCAN was performed. Radiological finding of CT-SCAN shows Acute Sub-arachnoid Hemorrhage (SAH) in the in the split between the hemispheres, basal cistern, prepontine cistern, ambient cistern and small extension into bilateral sylvian cisternal spaces and along the tentorium in posterior aspect. The patient deceased after 27 days of admission.
Key words: Subarachnoid hemorrhage, Hypertension, Aneurysm, Cerebrovascular Disorder, Thunderclap Headache, Cerebrospinal Fluid.