Advertisement

Case 11

  • Naci Kocer
Chapter

Abstract

A 47-year-old lady presented with headaches and visual disturbances. On cross-sectional imaging the patient was detected with a left paraophthalmic GIA. (a) Cerebral DSA reveals a giant, relatively narrow neck (6 mm) paraophthalmic aneurysm. (b) On April 2011, a SILK ® FD was deployed across the aneurysm. Immediate postprocedural angiogram reveals intra-aneurysmal stasis with “eclipse” sign. (c) Computational flow studies pre- and post-FD deployment show decreased aneurysmal filling and altered pulsatility. (d) The patient presented 5 days later with increasing headaches and sudden onset seizures. NECT reveals a ruptured aneurysm with intraparenchymal hemorrhage with intraventricular extension and SAH

Supplementary material

Video 1

Online Videos show 3D aneurysmal morphology with pre- and post-FD AP and lateral angiograms. Online animation videos show computational flow studies both pre- and post-FD in the present case (MP4 2179 kb)

Video 2

Online Videos show 3D aneurysmal morphology with pre- and post-FD AP and lateral angiograms. Online animation videos show computational flow studies both pre- and post-FD in the present case (MP4 1695 kb)

Video 3

Online Videos show 3D aneurysmal morphology with pre- and post-FD AP and lateral angiograms. Online animation videos show computational flow studies both pre- and post-FD in the present case (MP4 914 kb)

Video 4

Online Videos show 3D aneurysmal morphology with pre- and post-FD AP and lateral angiograms. Online animation videos show computational flow studies both pre- and post-FD in the present case (MP4 1739 kb)

Video 5

Online Videos show 3D aneurysmal morphology with pre- and post-FD AP and lateral angiograms. Online animation videos show computational flow studies both pre- and post-FD in the present case (MP4 2092 kb)

Video 6

Online Videos show 3D aneurysmal morphology with pre- and post-FD AP and lateral angiograms. Online animation videos show computational flow studies both pre- and post-FD in the present case (AVI 20507 kb)

Video 7

Online Videos show 3D aneurysmal morphology with pre- and post-FD AP and lateral angiograms. Online animation videos show computational flow studies both pre- and post-FD in the present case (AVI 20595 kb)

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Naci Kocer
    • 1
  1. 1.Department of NeuroradiologyIstanbul University Cerrahpasa Medical SchoolIstanbulTurkey

Personalised recommendations