Cervical ribs or malformed first ribs are found in 1 % of normal population and constitute 4.5% of patients with thoracic outlet syndrome. They predominantly cause neurologic symptoms in upper limb while vascular symptoms caused by them are rare involving only 2% of these patients. The vascular symptoms caused by cervical ribs predominantly...

A 16 years young man with a history of minor head injury a year back and left sided PCA territory infarct 6 months ago underwent DSA revealing a dissecting aneurysm of the V4 segment of left vertebral artery just as it became intradural. He underwent stent assisted coiling. During procedure sudden spasm was noted as soon as the stent was...

A 32 year old otherwise healthy man came with uncontrolled seizures and mild right sided weakness with a large vascular malformation in the left temporo-occipital region. He was embolised with Onyx. The immediate post embolisaion CT was fairly encouraging. However he suddenly developed seizures and right sided weakness 4...

A 35 years old female patient came with sudden onset of headache, diplopia, nystagmus, right sided weakness and gait disturbances. MRI showed signal change in pons and left middle cerebellar peduncle and a heterogenous mass inseparable from the basilar artery in the prepontine cistern…hematoma A DSA was done which revealed a dissecting...

A 14-yrs  old boy presented with sudden severe headache and loss of consciousnessCT head showed subarachnoid hemorrhageDSA was done which showed extensive vasculopathy and multiple aneurysm formationsThe aneurysm on left Distal ACA was coiled, however there was extreme narrowing of the parent artery during the procedure and the patient...

Ø 36 Years old male Ø 2 Nov 2008 : sudden onset of weakness, decreased sensation below neck, urinary and fecal incontinence ØExam: E4V5M6 ØSensory Loss below D6 level ØPower: UL 3-4/5, LL 1/5 MRI:13 Nov 2008- showed extensive cord changes and a tortuous flow void in the anterior thecl sac with a globular void at top of the...