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Very Small (Less Than 2 mm) Aneurysm with Severe Vasospasm: Pretreatment Dilatation

  • Vipul GuptaEmail author
Chapter

Abstract

A 56-year-old female presented with left lower limb weakness following a 1-week history of sudden severe headache. CT scan revealed subarachnoid haemorrhage and small areas of infarction in the right anterior cerebral artery (ACA) territory. Digital subtraction angiography (DSA) revealed a very small (≤1.5 mm) anterior communicating artery aneurysm (Fig. 54.1) with severe vasospasm of anterior and middle cerebral arteries and distal internal carotid artery (Fig. 54.1a, b).

Suggested Reading

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    Moret J, Pierot L, Boulin A, Castaings L, Rey A. Endovascular treatment of anterior communicating artery aneurysms using Guglielmi detachable coils. Neuroradiology. 1996;38:800–5.CrossRefGoogle Scholar
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    Suzuki S, Kurata A, Ohmomo T, et al. Endovascular surgery for very small ruptured intracranial aneurysms. Technical note. J Neurosurg. 2006;105:777–80.CrossRefGoogle Scholar

Copyright information

© The Author(s) 2019

Authors and Affiliations

  1. 1.Neurointerventional Surgery, Stroke UnitArtemis Agrim Institute of NeuroscienceGurgaonIndia

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