proptosis on opposite side of carotico-cavernous fistula



A 65 years old male patient had vision problems following head injury. Examination suggested a cortical type involvement and was confirmed on MRI as right PCA  territory infarct     Fig 1: CT head and MRI T2WI showing chronic right PCA territory infarct   Fig 2: Axial and Coronal CT orbit does not show any...

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Spontaneous bilateral internal carotid artery occlusion



Case: A 48 years old female patient, previously healthy, presented with right hemiparesis which improved rapidly over two days with some residual weakness. She was found to have left perforator infarct on CT, and a doppler study showed absence of bilateral ICA flow. Fig1: CECT (actually source image of CTA) showing left gangliocapsular...

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READ THE IMAGING CORRECTLY 2: MISSED ANEURYSM



A middle aged patient had history of neck and occipital pain and presented to the neurologist who ordered an MRI cervical spine and brain. The report came as degenerative spine (Fig 1) and normal brain (Fig 2). the neurologist ordered physiotherapy and medications. Patient had again transient LOC a month later. An MRI brain was ordered...

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ruptured SCALP AVM with large recurrent hematoma in A CHILD



A 3 years old child’s parents noticed a small swelling on the head at 2 months of age. the swelling increased gradually in size for a year then spontaneously decreased over a year. Following trivial fall, the swelling increased dramatically 3 days prior to presentation. He was otherwise normal. On examination, the swelling was firm, smooth...

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internal carotid artery perforation by microguidewire during acomm aneurysm coiling



43 years old male patient had a ruptured Acomm artery aneurysm and came for coiling after 1.5 months. the first coil was successfully placed, however there was stretching of the second coil hence it was removed along with the microcatheter. Subsequently a fresh catheter was intriduced over a microwire. During the manipulation, contrast...

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