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

  • Vipul GuptaEmail author


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

  1. 1.
    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
  2. 2.
    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

Personalised recommendations