BRAIN TUMORSANEURYSMSVASCULAR MALFORMATIONSTRIGEMINAL NEURALGIASPINE NECK BACKPARKINSONS DISEASEHEMIFACIAL SPASMCARPAL TUNNEL SYNDROME


Case Presentation:

PICA Aneurysm - Case 1


History & Physical

  • 61-year-old man who presented with severe occipital headache, nausea and vomiting, and loss of consciousness.

 


 

Imaging

 

Case 1 Image 1
 Case 1 Image 2
CT of his brain showed subarachnoid hemorrhage with extension to his fourth ventricle.

Case 1 Image 3

CTA (Computer Tomographic Angiography) of the patient’s brain showed a posterior inferior cerebellar artery aneurysm (PICA).

 

 


 

 

Surgical Procedure

 

  • The patient was treated using a far lateral skull base approach with surgical clipping of the aneurysm.

 


 


Post-Op Imaging

 

Case 1 Image 4
Postoperative angiogram showed complete removal of the aneurysm.

 



Post-op Course


  • Despite having a significant vasospasm 10 days after the hemorrhage, the patient was discharged from the hospital with mild lower cranial nerve palsy.