Article Figures & Data
Figures
- Fig 1.
45-year-old man with sudden severe headache and loss of consciousness was classified as Hunt and Hess grade 5.
A, Axial nonenhanced CT images demonstrate extensive subarachnoid and intraventricular blood.
B, Diagnostic angiogram shows a basilar tip aneurysm. The superior lobulations may represent an associated pseudoaneurysm.
C, Angiogram obtained after coil embolization shows complete occlusion of the aneurysm. There is minimal protrusion of coil loops into the basilar tip, but the patent vessel is widely patent. The patient had a good recovery and at 6-month follow-up was able to resume normal daily life.
Tables
Patient No. No. of Aneurysms CT Fisher Grade Aneurysm Location Percentage Occlusion Rankin Outcome Score Vasospasm Vasospasm Treatment 1 1 3 R PCOM 90 2 Y HHH, PA 2 3 4 L ICA 80 6 Y HHH 3 3 3 Basilar 100 4 Y HHH R P1–P2 95 4 3 4 R ICA 100 6 Y HHH 5 1 3 L ICA 80 1 N — 6 1 4 ACOM 100 0 Y HHH 7 1 4 L SCA 95 1 N — 8 1 3 Basilar 100 1 Y HHH 9 1 4 ACOM 100 6 Y HHH, PA 10 1 4 L ICA 90 6 Y HHH 11 1 4 R SCA 100 6 Y HHH 12 2 3 L ICA 100 6 Y HHH, PA 13 1 4 L VERT 100 6 Y HHH 14 1 3 R PICA 100 6 Y HHH, PA 15 2 3 R MCA 95 6 Y HHH 16 1 4 R ACOM 100 6 Y HHH, PA Note.—ACOM indicates anterior communicating artery; HHH = hypertension, hypervolemia, hemodilution therapy; ICA = internal carotid artery; L = left; MCA = middle cerebral artery; PA = papavarine; PCOM = posterior communicating artery; PICA = posterior inferior cerebellar artery; R = right; SCA = superior cerebellar artery; VERT = vertebral artery.
Patient No. No. of Aneurysms CT Fisher Grade Aneurysm Location Percentage Occlusion Rankin Outcome Score Vasospasm Vasospasm Treatment 1 2 4 ACOM 60 4 Y HHH 2 2 4 PCOM 90 6 Y HHH 3 1 4 Basilar 90 6 Y HHH 4 1 4 L ACOM 100 6 Y HHH 5 1 4 R ACOM 90 0 Y HHH, PA 6 1 3 Basilar 90 6 Y HHH, PA, PTA 7 2 4 ACOM 50 4 Y HHH R PCOM 75 8 2 3 L MCA 100 2 Y HHH 9 1 3 R PCOM 100 6 Y HHH 10 1 4 ACOM 100 6 Y HHH 11 1 3 Basilar 95 2 Y HHH Note.—ACOM indicates anterior communicating artery; HHH = hypertension, hypervolemia, hemodilution therapy; L = left; MCA = middle cerebral artery; PA = papavarine; PCOM = posterior communicating artery; PTA = angioplasty; R = right.
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