RARE ENDOVASCULAR SURGERY PERFORMED AT IVY HOSPITAL

  22 yrs Male severe head injury following rta. Rt side pupil dilated pl pr negative . Steroids given fr suspected traumatic optic neuropathy. CT BRAIN  traumatic SAH snd skull base fractures. Pt gradually improved in consciousness.  Rt side pl pr negative . Left side vision improved from FC counting at 1m to fc at 6 m by 14 days . On 14 day sudden deterioration of vision with exopthalmos . Bruit  present Dsa confirmed ccf

                           Left eye swollen due to CCF.

                               DSA SHOWING CCF

POST COILING IMAGES OF CCF

Improvement in eye symptoms and vision immediate post surgery.

Coiling of wide necked p-com Aneurysm

60 yrs female presented to us with headache followed by loss of consciousness. Ct Angio revealed wide necked p-com aneurysm . Patient opted fr coiling and it was coiled without any further deficit to the patient . First pic wide necked p-com aneurysm.  Second pic post coiling

Neuro and Spine Surgeon, Mohali House Number 1766, 1st Floor, phase 5, Sahibzada Ajit Singh Nagar, Punjab 160059 098559 90990 https://g.co/kgs/bMRzRn

Rare LENTICULOSTRIATE ARTERY aneurysm operated by https://www.google.co.in/url?sa=t&source=web&rct=j&url=http://www.neurosurgeoninchandigarh.com/&ved=0ahUKEwi4476Ct9HSAhWMOI8KHa-8CQw4ChAWCCkwAQ&usg=AFQjCNEWcxJ03RU0249rCA4HnwzOnKPYww&sig2=G4pqnHFg2a18boTDYOHROgat Chandigarh mohali punjab

A 24year male presented to us in emergency with sudden onset loss of consciousness followed by seizures.  Patient was intubated and CT head was done which revealed  SDH right FTP region, and temporal haematoma and SAH. CT angio revealed aneurysm distal to ICA bifurcation and proximal to MCA BIFURCATION.  Patient was operated via right Forto-temporoparital craniotomy with clipping of aneurysm which was arising from junction of large lenticulostriate branch of right MCA just proximal to bifurcation.  Patient was discharged after one month after surgery without GCS of E4VtM6 with left hemiparesis and is still recovering.

Fig 1-4.CT ANGIOGRAPHY SHOWING aneurysm distal to ICA bifurcation and proximal to MCA BIFURCATION. Lenticulostriate artery aneurysm.

Fig5 plain CT images showing temporal haematoma with SAHIL AND SDH.

FIG 6 CT ANGIOGRAPHY  SHOWING LENTICOSRIATE ARTERY MCA JUNCTION ANEURYSM. 

FIG 6 and 7. POST operative scans.

Giant Distal MCA ANEURYSM (M2-M3) junction aneurysm operated by us with good outcome at chandigarh mohali punjab

A 55 year old lady presented to our opd with severe headache for past two days with two episodes of seizures.  She also complained of numbness and tingling of her left hand and arm. A provisional diagnosis of intracranial SOL was made and MRI was done . MRI showed a giant aneurysm in left MCA . CT ANGIOGRAPHY  revealed  giant aneurysm of left M2 -M3 JUNCTION.  Patient was operated via left fronto temporal craniotomy with clipping of giant MCA ANEURYSM. Patient was discharged 5 days after surgery  without any deficit.

FIG.1-5. CT ANGIOGRAPHY SHOWING GIANT DISTAL MCA ANEURYSM ON LEFT SIDE. FIG 6 POST OP CT. PIC OF PATIENT POST OP.

Large bilobbed MCA bifurcation aneurysm operated by us at Ivy hospital with good outcome

  A 45 year old lady presented to our emergency  with complaints of headache  followed by loss of consciousness  . CT head revealed SAH with large  haematoma  in temoropaietal region. CT Angiography  revealed large bilobbed aneurysm  at MCA bifucation  on right side. Patient  was operated via right Forto-temporoparital craniotomy with clipping of aneurysm  and removal of haematoma. Pt was discharged  without any deficit

Fig. 1 . CT HEAD SHOWING SAH WITH HAEMATOMA

FIG. 2,3. ANGIOGRAM SHOWING LARGE BILOBBED  MCA BIFURCATION ANEURYSM . 

FIG 4 POST OP CT OF THE PT.

PIC 5 PT AT FOLLOW UP.

Large wide necked MCA BIFURCATION ANEURYSM operated by us at ivy hospital mohali chandigarh punjab with good outcome

A 70 year old female presented to us with sudden onset severe headache followed by loss of consiousness. CT angio brain revealed large aneurysm at MCA bifurcation left side and small aneurysm at M2-m3 junction distal  to it. Patient underwent leftpterional craniotomy with clipping of aneurysm. 
CT ANGIO BRAIN SHOWING LARGE ANEURYSM AT MCA BIFURCATION LEFT SIDE WITH SMALLER ANEURYSM DISTAL TO IT AT M2-M3 JUNCTION. IMAGES 12 34

Images 5 and 6 post op ct

Picture 7 patient just before discharge.
POST OP CT