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
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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)
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)
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)
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)
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)
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)
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)
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Kocer, N. (2016). Case 11. In: Giant Intracranial Aneurysms. Springer, Cham. https://doi.org/10.1007/978-3-319-41788-2_11
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DOI: https://doi.org/10.1007/978-3-319-41788-2_11
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