International Journal of Radiology and Diagnostic Imaging
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International Journal of Radiology and Diagnostic Imaging

2022, Vol. 5, Issue 1, Part A

A case report: On middle cerebral artery aneurysm treated by coil embolization
Author(s)
Dr. Sudhanshu Tonpe, Dr. Jawahar Rathod, Dr Jaybhay Shivprasad and Dr. Mandeep Sagar
Abstract
Introduction: Cerebral aneurysm is a common cause of intracranial hemorrhage, stroke, and death. It is treated with vascular surgeries, such as artery clipping and coil embolism. However, surgery itself is a risk factor that may cause rupture of aneurysm, and leads to irreversible brain damage, and even death.
Endovascular coiling is the procedure of choice to obliterate the aneurysm by a minimally invasive procedure.
Patient concerns: A 68-year-old female came to our hospital with thunderclap headache and sudden loss of consciousness.
Diagnosis: Non contrast CT, CT Angiography (CTA), Digital Subtraction Angiography (DSA) and 3D rotational angiography of the head shows a right Middle cerebral artery (MCA) bifurcation aneurysm arising and incorporating the origin of superior trunk of M2 and measuring 4.7 x 3.7 mm with the neck measuring 3.7 mm. There was also subarachnoid hemorrhage in the right Sylvain fissure with edema in the right temporo-parietal lobe.
Interventions: Considering the size and location of this MCA aneurysm, endovascular coil embolization was performed to obliterate the aneurysm.
Outcome: Post procedure, there was no abnormality detected. Six weeks after surgery, the patient’s muscle tone in both upper and lower extremities were grade V. CTA confirmed no MCA aneurysm.
Lessons: Therefore endovascular coiling is a safe and effective method to obliterate the aneurysm and prevent recurrence of subarachnoid aneurysm.
Abbreviations: CT= Computed tomography, CTA = CT Angiography, DSA = Digital Subtraction Angiography, MCA = Middle Cerebral Artery.
Pages: 28-31 | Views: 241 | Downloads: 115
How to cite this article:
Dr. Sudhanshu Tonpe, Dr. Jawahar Rathod, Dr Jaybhay Shivprasad, Dr. Mandeep Sagar. A case report: On middle cerebral artery aneurysm treated by coil embolization. Int J Radiol Diagn Imaging 2022;5(1):28-31. DOI: 10.33545/26644436.2022.v5.i1a.251
International Journal of Radiology and Diagnostic Imaging