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

Slides:



Advertisements
Similar presentations
Xe-CT CBF maps in a patient with Moyamoya disease.
Advertisements

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.
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.
A, Left common carotid angiography (lateral view).
Right carotid angiogram (A) demonstrates a small carotid cave aneurysm in a patient who had an anterior communicating artery aneurysm previously treated.
Axial CT scans of the brain and neck performed with contrast medium.
Two angiographically occult additional microaneurysms adjacent to a ruptured posterior inferior cerebellar artery aneurysm in a 53-year-old woman. Two.
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.
Sonograms of bilateral cerebellar hemorrhage obtained in a neonate without intraventricular hemorrhage at 30 weeks’ gestational age.A, AF coronal view.
Acutely ruptured PICA aneurysm in a 46-year-old woman.
A, Left internal carotid artery (ICA) angiogram showing a left middle cerebral artery (MCA) bifurcation aneurysm and an additional distal MCA aneurysm.B.
A, Axial source image from a contrast-enhanced MRA unambiguously demonstrates a tiny (
Case 1: 15-year-old boy with juvenile nasopharyngeal angiofibroma on the right side. Case 1: 15-year-old boy with juvenile nasopharyngeal angiofibroma.
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.
The aortic arch branching pattern found in cattle has a single brachiocephalic trunk originating from the aortic arch and eventually splits into the bilateral.
Sidewall aneurysm of the left vertebral artery (A).
Construction of the wide neck aneurysm model
Axial CT images at the level of the middle cerebellar peduncles show blood clot within the fourth ventricle. Axial CT images at the level of the middle.
Scout suture evaluation.
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.
Hypervascular tumor. Hypervascular tumor. Right carotid artery angiogram shows displacement of the branches of the middle cerebral artery. The tumor blush.
A 19-year-old man with a 2-day history of recurrent headaches and prior marijuana use. A 19-year-old man with a 2-day history of recurrent headaches and.
A, Axial CT of a patient with bilateral DON and lack of fat prolapse through the superior ophthalmic fissure. A, Axial CT of a patient with bilateral DON.
Patient 6: 24-year-old woman with primary angiitis of the CNS
Patient 3. Patient 3. A, Ninety-nine percent right internal carotid artery stenosis. A left external carotid stent is also visualized. The left internal.
Postmyelography CTs showing (A) bilateral cervicothoracic CSF leaks without an associated meningeal diverticulum; B, Left thoracic meningeal diverticulum.
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, Oblique angiogram of the left carotid artery reveals two posttraumatic aneurysms. A, Oblique angiogram of the left carotid artery reveals two posttraumatic.
A 70-year-old man with subarachnoid hemorrhage centered in the prepontine cistern (A). A 70-year-old man with subarachnoid hemorrhage centered in the prepontine.
Pial vasodilation. Pial vasodilation. A, Axial GRE T2 image shows a left frontal sulcal SAH (black arrowhead), possibly located in the “watershed” territory.
Trends in the use of head CT and advanced imaging in patients treated with IV thrombolysis from 2008 to Trends in the use of head CT and advanced.
Single-frame images from left common carotid rotational angiography before (A) and after (B) endovascular treatment demonstrate correction of the arterial.
Case 6, a 73-year-old woman with SAH
Four more examples of missed additional aneurysms on DSA
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.
Flow through an 8F long sheath (Shuttle Select), an 8F balloon-catheter (FlowGate2 Balloon Guide Catheter), an ACE 64 distal aspiration catheter, and an.
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.
Temporal bone CT in the Pöschl (A) and Stenvers (B) planes demonstrating a large defect (arrows) in the roof of the right superior semicircular canal.
3D angiogram shows a vertebrobasilar junction aneurysm on the bridging artery of a basilar fenestration. 3D angiogram shows a vertebrobasilar junction.
30-year-old man with subarachnoid hemorrhage at presentation in 1994.
56-year-old woman evaluated with CT angiography for aneurysm of the supraclinoid segment of the internal carotid artery.A, Three-dimensional volume-rendered.
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.
Left carotid artery angiograms demonstrate the persistent otic artery (a), the basilar artery (b), the fetal posterior cerebral artery (PCA) (c), the ACoA.
A and B, Anteroposterior (A) and lateral (B) anatomic diagrams demonstrate the anatomy of the PMVs in relation to the vertebrobasilar system. 1 indicates.
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.
A 42-year-old man presenting with progressive deterioration of consciousness. A 42-year-old man presenting with progressive deterioration of consciousness.
72-year-old man with an unruptured aneurysm in the right middle cerebral artery and total occlusion of the left vertebral artery. 72-year-old man with.
A 69-year-old woman with pulsatile tinnitus.
A 59-year-old woman with bilateral descending thoracic vertebral arteries. A 59-year-old woman with bilateral descending thoracic vertebral arteries. A,
Imaging plane for arterial spin labeling method.
A 70-year-old woman with postoperative tuberothalamic infarction.
;t1Case 1. ;t1Case 1. A, CT scan, obtained on the first day of final hospital admission, shows a large left lentiform nucleus and left sylvian fissure.
Preprocedural CT and procedural and follow-up angiograms of a 39-year-old female patient with a distal PICA aneurysm. Preprocedural CT and procedural and.
A, Right internal carotid artery angiographic approach for coiling of a right ophthalmic ICA aneurysm (black arrowhead) in a 71-year-old woman using 7.78.
Flow patterns of 2 vertebral artery fusiform cases with different stent-placement strategies. Flow patterns of 2 vertebral artery fusiform cases with different.
Patient 9. Patient 9. Ruptured right cavernous sinus aneurysm in a 74-year-old woman with bilateral exophthalmus, ophthalmoplegia, and decreased vision.A.
Ruptured, right-sided giant middle cerebral artery (MCA) bifurcation aneurysm with right, intraparenchymal temporal lobe hematoma. Ruptured, right-sided.
Magnified lateral projections of bilateral ICA angiography (A, right; -B, left) show only minimal collateral flows (arrows) from lenticulostriates over.
Axial CT at level of thyroid cartilage shown on soft tissue window (width, 340 HU; center, 43 HU) in panel A and narrow window (width, 1 HU; center, 130.
Stent placement for treatment of acute intracranial occlusion.
A 42-year-old woman with a right parietal hematoma.
Tilted head position for intracranial CT angiography in a patient who has undergone clipping of a single aneurysm. Tilted head position for intracranial.
DSA of the left vertebral injection, lateral (A) and anteroposterior (B) views, and a coronal CTA image (C) from case 23 demonstrate a large unpaired thalamic.
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.
A 21-year-old woman with a right sensory-motor deficit and aphasia for 60 minutes. A 21-year-old woman with a right sensory-motor deficit and aphasia for.
Presentation transcript:

Case 3.A, CT angiography revealing bilateral asymptomatic middle cerebral artery (MCA) bifurcation aneurysms and an additional aneurysm at the left distal superior cerebellar artery.B and C, In a first procedure, the left MCA and the cerebellar superior art... Case 3.A, CT angiography revealing bilateral asymptomatic middle cerebral artery (MCA) bifurcation aneurysms and an additional aneurysm at the left distal superior cerebellar artery.B and C, In a first procedure, the left MCA and the cerebellar superior artery aneurysms were completely embolized.D–F, Eight weeks later, the right MCA bifurcation aneurysm was completely occluded with coils. A. Doerfler et al. AJNR Am J Neuroradiol 2006;27:513-520 ©2006 by American Society of Neuroradiology