Cervical rib with MCA territory stroke



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...

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Stent induced spasm during coiling of vertebral artery dissecting aneurysm



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...

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Onyx Embolisation of a large temporal AVM followed by Hemorrhage



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...

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Embolisation of Dissecting basilar artery aneurysm



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...

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