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Wednesday, December 28, 2011

A.com Aneurysm

History:-

38 yr old gentleman admitted with c/c of

· Sudden onset of severe occipital headache 1 day back, associated with stiffness of neck

· No significant past history

Examination:-

· WFNS grade-1

· Neck rigidity

Investigations:-

· NCCT head showed diffuse SAH, Fisher grade-3

· CT angiography-A.Com. aneursm with right A1 hypoplasia









Treatment:-

· Left fronto-temporal trephine craniotomy with aneurysmal clipping done under GA

Post-operative period:-

· Uneventful



1 comment:

  1. Left pterional craniotomy. Transylvian route to ACoA Complex. Preparing aneurysm and clip.

    ReplyDelete