Unprecedented reversible quadriplegia after ruptured anterior communicating artery aneurysm: A case report

Abstract

Anterior communicating artery (ACoA) aneurysm is a common site for spontaneous subarachnoid hemorrhage. The classical presentation of paraplegia and akinetic mutism is well known. We present a case of ruptured ACoA aneurysm who presented with quadriplegia. We discuss the possible mechanism for this finding. The patient gradually showed improvement in quadriplegia. It is important to be aware of this unusual presentation. Rehabilitation of patient along with treatment of aneurysm is equally important.