June 2010 issue of Radiology has published a very significant article, that with wide-ranging implications. CECT requests are rampant without any definite indications as most studies can be completed without contrast and studies needing contrast usually also need an MRI scan later; so why not dispense with it altogether. The authors, Loh et al have found 14.3 % patients developing delayed reactions after CECT using Iohexol, which...

Posterior cerebral artery aneurysms have been managed many a times conservatively. However, in reality little really solid literature exists as to the subject Here is a good review of the topic, and according to it endovascular management is the best option among all the three Download powerpoint from this link http://www.mediafire.com/?ek2nm5ww...

A 23 years-old man developed severe right sided proptosis a month after sustaining head injury in a road traffic accident.His right orbit showed severe chemosis, injection with decreased ocular movement; vision had decreased to 6/18 ft.Left eye was normal.A DSA showed a direct type CCF with rent  near the posterior genu of internal carotid...

In May 26, 2010 issue of NEJM, the much awaited paper was published, dealing with a well planned trial directly comparing carotid endarterectomy and carotid stenting The results are not surprising: both are equally efficacious with minimal and comparable complications except that more heart attacks were seen in CEA group and more 'brain attacks' in CS. Stenting versus Endarterectomy   for Treatment of Carotid-Artery...

A young man had a missile injury to his right eye, following which the globe ruptured and was removed. After few days, he developed sudden proptosis severe pain in the right orbit.A contrast CT scan showed a large oval contrast filled structure filling half the right orbit and some soft tissue.A DSA was performed which showed a large pseudoaneurysm...

Hi allWhy?Why do we need a free and open discussion among neurointerventionists....Why do we have to develop the field as a science ...and not practice as arts as is being done..............Why do we need a forum for students of neurointervention rather then businessmen of neurointervention....Why do we need to have to have this medical branch at all...............Why? Single answer.....for the love of it.... this blog is meant...

A 65 years - old man with recurrent right sided TIAs and severe left ICA stenosis was undergoing stent placement.He had been taking Aspirin and Clopidogrel and the ACT pre-procedure was ~300.After heparinization with 5000 Units, a Zilver stent was deployed following pre-dilatation with a balloon.Immediately after deployment thrombosis was...