A 52-year-old man presenting with frontal syndrome.

Slides:

Advertisements

Similar presentations

Ruptured PICA aneurysm in a 62-year-old man presenting in poor clinical condition. Ruptured PICA aneurysm in a 62-year-old man presenting in poor clinical.

Advertisements

A 49-year-old man presenting with left abducens and right facial nerve palsies. A 49-year-old man presenting with left abducens and right facial nerve.

A 55-year-old woman with brain stem compression from a partially thrombosed PICA aneurysm. A 55-year-old woman with brain stem compression from a partially.

Right carotid angiogram (A) demonstrates a small carotid cave aneurysm in a patient who had an anterior communicating artery aneurysm previously treated.

Right temporal AVM in a 28-year-old woman with seizures.

Two angiographically occult additional microaneurysms adjacent to a ruptured posterior inferior cerebellar artery aneurysm in a 53-year-old woman. Two.

Illustrative case 2.A, Nonenhanced CT scan shows subarachnoid hemorrhage and ventricular prominence.B, Right internal carotid artery angiogram, frontal.

A, ROIs that were drawn in the flow territories of the anterior cerebral artery (cortex: ROIs 1 and 2, basal ganglia: ROIs 5 and 6) and the middle cerebral.

Acutely ruptured PICA aneurysm in a 46-year-old woman.

A 25-year-old man evaluated for long-term migraine problems.

A, Axial source image from a contrast-enhanced MRA unambiguously demonstrates a tiny (

Preoperative 3D angiogram (A) shows a very wide-neck large ICA aneurysm. Preoperative 3D angiogram (A) shows a very wide-neck large ICA aneurysm. It could.

A 38-year-old man with ruptured basilar tip aneurysm with late regrowth and recurrent hemorrhage. A 38-year-old man with ruptured basilar tip aneurysm.

A 40-year-old man who presented with left-sided pulsatile tinnitus.

A 44-year-old woman with coiled ruptured basilar tip aneurysm with repeated reopening and progressive growth during 6 years’ time. A 44-year-old woman.

Singular-energy magnitude and location at peak systole in aneurysm volumes (gray) of aneurysm 1, 2, 3, and 5 for 3D PC-MR imaging; CFD with inflow boundary.

49-year-old man with sudden headache and dysphasia and frontal hematoma on CT scan. 49-year-old man with sudden headache and dysphasia and frontal hematoma.

A 68-year-old woman presenting 18 days after SAH from PICA aneurysm.

Velocity vector images in a characteristic section depicting the main vortex in 4 aneurysms and the inflow jet in 3 of the aneurysms. Velocity vector images.

Pretreatment MR and angiographic images

Giant serpentine aneurysm of the P2A segment of the PCA presenting with intracerebral and subarachnoid hemorrhage in a 12-year-old boy. Giant serpentine.

Case 2, Right infundibular dilation at the junction of the internal carotid artery–posterior communicating artery (fetal-type), in a 36-year-old woman.A,

A 48-year-old man with a cerebral metastasis from a hepatocellular carcinoma. A 48-year-old man with a cerebral metastasis from a hepatocellular carcinoma.

Patient 9. Patient 9. A 31-year-old man with mental status changes and seizure activity.A, T2-weighted axial MR image shows bilateral frontal and right.

Images from first session with a head coil show suspicion of carotid dissection. Images from first session with a head coil show suspicion of carotid dissection.

Aberrant course of the ICA in a 25-year-old man presenting with pulsatile tinnitus. Aberrant course of the ICA in a 25-year-old man presenting with pulsatile.

A 59-year-old woman (patient 5) with a right occipital parenchymal hemorrhage from a DAVF. A, CT scan demonstrates a right parenchymal hematoma. A 59-year-old.

A 65-year-old man with an unruptured anterior communicating artery aneurysm. A 65-year-old man with an unruptured anterior communicating artery aneurysm.

A, Axial unenhanced CT shows diffuse symmetric subarachnoid hemorrhage

Case 2.A, Right internal carotid artery (ICA) angiogram, oblique view, showing a 4-mm aneurysm at the right middle cerebral artery (MCA) bifurcation.B,

A 64-year-old man with oculomotor nerve palsy from a partially thrombosed giant cavernous sinus aneurysm. A 64-year-old man with oculomotor nerve palsy.

MR imaging from a 33-year-old woman who had experienced classical migraine with aura since her teens, but was otherwise asymptomatic It shows how marked.

3D TOF MR angiograms.A, Angiogram of the circle of Willis with the complete anterior configuration shows the AcoA (arrow).B, Angiogram of the circle of.

A 29-year-old man with sudden neck pain followed by right-sided muscle weakness and difficulty in swallowing. A 29-year-old man with sudden neck pain followed.

A, Giant right carotico-ophthalmic aneurysm

Four more examples of missed additional aneurysms on DSA

28-year-old man with an aneurysmal SAH

A 49-year-old man with abducens nerve palsy from a partially thrombosed PICA aneurysm projecting into the brain stem. A 49-year-old man with abducens nerve.

Results of aneurysm treatment with flow modification only.

A 46-year-old woman with a coiled ruptured basilar tip aneurysm and an additional large fusiform middle cerebral artery aneurysm. A 46-year-old woman with.

A 62-year-old man with a ruptured wide-neck basilar tip aneurysm (size: 10 × 9 × 8 mm; neck: 6 mm).A and B, Frontal and lateral views, respectively.C and.

Orbital amyloidoma in a 32-year old woman with a slowly increasing mass in the right orbit and generalized bone pain. Orbital amyloidoma in a 32-year old.

Endovascular coil occlusion of an enlarging carotid artery pseudoaneurysm. Endovascular coil occlusion of an enlarging carotid artery pseudoaneurysm. Sagittal.

30-year-old man with subarachnoid hemorrhage at presentation in 1994.

52-year-old African-American man with seizure disorder.

Patient with a 6-mm aneurysm of the AcomA that was treated with GDCs

A 58-year-old man (patient 1) with a good-grade (Hunt and Hess II) subarachnoid hemorrhage from a torcular DAVF that was cured with a single Onyx injection.

62-year-old woman with incidentally discovered bilateral cavernous sinus aneurysms. 62-year-old woman with incidentally discovered bilateral cavernous.

Case 10.A, Left vertebral angiography obtained 6 months after previous surgery shows residual filling of the basilar tip aneurysm and additional right.

46-year-old woman with a gradually enlarging mass on her forehead.

Left carotid artery angiograms demonstrate the persistent otic artery (a), the basilar artery (b), the fetal posterior cerebral artery (PCA) (c), the ACoA.

A 6-year-old boy with headache and syncope.

Case 7: 45-year-old man with sudden onset of vertigo, dysmetria, and somnolence. Case 7: 45-year-old man with sudden onset of vertigo, dysmetria, and somnolence.

Giant cavernous carotid aneurysm, with the patient presenting with third and sixth nerve palsy due to mass effect (patient 16, On-line Table and Tables.

A 10-year-old boy with symptoms of brain stem compression from a giant partially thrombosed distal vertebral aneurysm. A 10-year-old boy with symptoms.

Intramural dissection of a partially occluded giant basilar tip aneurysm in a 69-year-old woman causing fatal brain stem compression.A, Frontal vertebral.

A 42-year-old man presenting with progressive deterioration of consciousness. A 42-year-old man presenting with progressive deterioration of consciousness.

Case 1: 54-year-old man with atrial fibrillation and sudden onset of left-sided hemiparesis. Case 1: 54-year-old man with atrial fibrillation and sudden.

Conventional angiogram obtained from a right internal carotid artery injection (A) precoiling AP view and (B) unsubtracted postcoiling lateral view demonstrates.

The patient is a 47-year-old man.

A 31-year-old man with seizures and right temporal AVM, embolized with Onyx.A, Right temporal AVM with superficial venous drainage.B, C, Small nidal remnant.

A 70-year-old woman with postoperative tuberothalamic infarction.

Pseudoaneurysms demonstrated by femoral arteriography and sonography.

A 48-year-old woman presenting with a subarachnoid hemorrhage.

Patient 9. Patient 9. Ruptured right cavernous sinus aneurysm in a 74-year-old woman with bilateral exophthalmus, ophthalmoplegia, and decreased vision.A.

Case 3.A, CT angiography revealing bilateral asymptomatic middle cerebral artery (MCA) bifurcation aneurysms and an additional aneurysm at the left distal.

Osteoporotic vertebral compression fracture of L2 with absent bone marrow edema (BME) treated by percutaneous vertebroplasty (PV). Osteoporotic vertebral.

A 42-year-old woman with a right parietal hematoma.

A 44-year-old man with seizures and a left parietal AVM. A, A 3

Procedural and follow-up angiograms of a 28-year-old female patient with a history of subarachnoid hemorrhage due to rupture of a contralateral MCA bifurcation.

Presentation transcript:

A 52-year-old man presenting with frontal syndrome. A 52-year-old man presenting with frontal syndrome. A, MR imaging reveals a partially thrombosed anterior communicating artery aneurysm with surrounding edema. B and C, Angiogram showing aneurysmal lumen and coil mesh after coiling. D and E, MR imaging (D) and angiogram (E) 8 years and 4 coiling procedures later: the aneurysm has enlarged with increased mass effect and edema. There is progressive frontal syndrome. F, Radiograph after fifth coiling. Note migration of previous coils into intraluminal thrombus. During 5 coiling procedures, 2970 cm of 0.018 coils were inserted. W.J. van Rooij, and M. Sluzewski AJNR Am J Neuroradiol 2009;30:12-18 ©2009 by American Society of Neuroradiology