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.