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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 on theme: "BASILAR ANEURYSM DOES THIS CASE NEED FURTHER MANAGEMENT ? IF SO, WHAT IS BETTER; OPEN SURGERY &CLIPPING OR AGAIN ENDOVASCULAR COILING ?"— Presentation transcript:

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

2 30 Y OLD LADY PRESENTED WITH HEADACHE, NECK PAIN & FACIAL NUMBNESS NEUROLOGICAL EXAMINATION IS NORMAL

3 CT BRAIN ANGEOGRAPHY (BD)

4 CT BRAIN ANGEOGRAPHY (3D)

5 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

6 DIGITAL SUBTRACTION ANGEOGRAPHY

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