BASILAR ANEURYSM DOES THIS CASE NEED FURTHER MANAGEMENT ? IF SO, WHAT IS BETTER; OPEN SURGERY &CLIPPING OR AGAIN ENDOVASCULAR COILING ?

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Presentation transcript:

BASILAR ANEURYSM DOES THIS CASE NEED FURTHER MANAGEMENT ? IF SO, WHAT IS BETTER; OPEN SURGERY &CLIPPING OR AGAIN ENDOVASCULAR COILING ?

30 Y OLD LADY PRESENTED WITH HEADACHE, NECK PAIN & FACIAL NUMBNESS NEUROLOGICAL EXAMINATION IS NORMAL

CT BRAIN ANGEOGRAPHY (BD)

CT BRAIN ANGEOGRAPHY (3D)

PATIENT UNDERWENT ENDOVASCULAR COILING 3 MONTHS AGO. POST COILING, SHE DEVELOPED SOME NECK PAIN & DIFFICULTY IN SWALLOWING WHICH ALL RESOLVED WITH STEROIDS & NSAID. FOLLOW UP ANGEOGRAPHY DONE TO ASSESS THE PROCEDURE

DIGITAL SUBTRACTION ANGEOGRAPHY