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Pathology
A 50-year-old woman develops a sudden, severe headache and is taken to the emergency department. On examination, she has nuchal rigidity. Her blood pressure is 115/83 mm Hg. A lumbar puncture is done; the CSF shows numerous RBCs, no neutrophils, a few mononuclear cells, and a normal glucose level. The Gram stain result is negative. CT imaging shows subarachnoid hemorrhage at the base of the brain. Which of the following vascular events has most likely occurred in this woman?
Bleeding from cerebral amyloid angiopathy
Hematoma formation from arteriolosclerosis
Middle cerebral artery thromboembolism
Rupture of an intracranial berry aneurysm
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