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.
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.
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.
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
A 55 yrs female presented to us with complaints of headache right sided hearing loss and Ataxia. Clinical examination revealed rt sided senosineural hearing loss with mild facial wakes lmn type and decreased gag reflex on right side. Crebellar signs were more pronounced on rt side. MRI revealed large CP angle mass on right side compressing brain stem . Patient underwent right Retro mastoid Suboccipital craniotomy with complete removal of mass with preservation of facial nerve function.
MRI showing right CP angle mass.
CT showing complete removal of mass.
