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Brain, Aneurysm: Multimedia

Author: Federico C Vinas, MD, Consulting Neurosurgeon, Department of Neurological Surgery, Halifax Medical Center
Coauthor(s): Harvey I Wilner, MD, Clinical Associate Professor, Department of Radiology, Wayne State University
Contributor Information and Disclosures

Updated: Dec 30, 2008

Multimedia

T1-weighted magnetic resonance image (MRI) of a m...
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Media file 1: T1-weighted magnetic resonance image (MRI) of a middle-aged woman with progressive headaches, aphasia, and right-sided hemiparesis. A large intracerebral mass with a significant amount of surrounding edema is depicted. The lesion is a giant internal carotid artery aneurysm.
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T1-weighted magnetic resonance image (MRI) of a m...

T1-weighted magnetic resonance image (MRI) of a middle-aged woman with progressive headaches, aphasia, and right-sided hemiparesis. A large intracerebral mass with a significant amount of surrounding edema is depicted. The lesion is a giant internal carotid artery aneurysm.

T2-weighted MRI of a middle-aged woman with progr...
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Media file 2: T2-weighted MRI of a middle-aged woman with progressive headaches, aphasia, and right-sided hemiparesis. The lesion is a giant internal carotid artery aneurysm. Note the flow void, the blood breakdown products within the layers of mural thrombus, and calcification within the aneurysm that produces a marked hypointense signal. Significant surrounding edema is depicted.
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T2-weighted MRI of a middle-aged woman with progr...

T2-weighted MRI of a middle-aged woman with progressive headaches, aphasia, and right-sided hemiparesis. The lesion is a giant internal carotid artery aneurysm. Note the flow void, the blood breakdown products within the layers of mural thrombus, and calcification within the aneurysm that produces a marked hypointense signal. Significant surrounding edema is depicted.

Left oblique cerebral angiogram in a patient with...
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Media file 3: Left oblique cerebral angiogram in a patient with multiple intracranial aneurysms shows an anterior communicating aneurysm and a middle cerebral artery aneurysm. The patient underwent a frontotemporoparietal craniotomy, during which surgical clips were placed in both lesions in one setting.
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Left oblique cerebral angiogram in a patient with...

Left oblique cerebral angiogram in a patient with multiple intracranial aneurysms shows an anterior communicating aneurysm and a middle cerebral artery aneurysm. The patient underwent a frontotemporoparietal craniotomy, during which surgical clips were placed in both lesions in one setting.

Left oblique cerebral angiogram in a patient with...
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Media file 4: Left oblique cerebral angiogram in a patient with a proximal intracranial internal carotid artery aneurysm. The surgical approach to this aneurysm requires a craniotomy with an orbitotomy and drilling of the anterior clinoid process; however, this aneurysm has a favorable neck-to-fundus ratio for endovascular coil placement.
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Left oblique cerebral angiogram in a patient with...

Left oblique cerebral angiogram in a patient with a proximal intracranial internal carotid artery aneurysm. The surgical approach to this aneurysm requires a craniotomy with an orbitotomy and drilling of the anterior clinoid process; however, this aneurysm has a favorable neck-to-fundus ratio for endovascular coil placement.

Image obtained after the placement of a Guglielmi...
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Media file 5: Image obtained after the placement of a Guglielmi detachable coil in the aneurysm. The patency of the internal carotid artery and all its branches is preserved. Contrast material does not fill the aneurysm.
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Image obtained after the placement of a Guglielmi...

Image obtained after the placement of a Guglielmi detachable coil in the aneurysm. The patency of the internal carotid artery and all its branches is preserved. Contrast material does not fill the aneurysm.

Nonenhanced CT scan of a middle-aged man with hea...
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Media file 6: Nonenhanced CT scan of a middle-aged man with headaches. The patient had a giant aneurysm of the left internal carotid artery in its intracavernous segment. This aneurysm is densely calcified and is easily depicted.
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Nonenhanced CT scan of a middle-aged man with hea...

Nonenhanced CT scan of a middle-aged man with headaches. The patient had a giant aneurysm of the left internal carotid artery in its intracavernous segment. This aneurysm is densely calcified and is easily depicted.

More on Brain, Aneurysm

Overview: Brain, Aneurysm
Imaging: Brain, Aneurysm
Follow-up: Brain, Aneurysm
Multimedia: Brain, Aneurysm
References
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Further Reading

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Keywords

brain aneurysm, cerebral aneurysm, abnormal arterial dilatation, intracranial aneurysm, berry aneurysm, endovascular procedures, radiological diagnoses, Guglielmi detachable coil, GDC

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Contributor Information and Disclosures

Author

Federico C Vinas, MD, Consulting Neurosurgeon, Department of Neurological Surgery, Halifax Medical Center
Federico C Vinas, MD is a member of the following medical societies: American Association of Neurological Surgeons, American College of Surgeons, American Medical Association, Congress of Neurological Surgeons, Florida Medical Association, and North American Spine Society
Disclosure: Nothing to disclose.

Coauthor(s)

Harvey I Wilner, MD, Clinical Associate Professor, Department of Radiology, Wayne State University
Harvey I Wilner, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Roentgen Ray Society, American Society of Neuroimaging, American Society of Neuroradiology, and Michigan State Medical Society
Disclosure: Nothing to disclose.

Medical Editor

Jeffrey L Creasy, MD, Associate Professor, Associate Section Head, Division of Neuroradiology, Director, Neuroradiology Fellowship, Department of Radiology, Vanderbilt University
Jeffrey L Creasy, MD is a member of the following medical societies: American College of Radiology, American Society of Neuroradiology, and Radiological Society of North America
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

James G Smirniotopoulos, MD, Professor of Radiology, Neurology, and Biomedical Informatics, Chairman, Department of Radiology and Radiological Sciences, Uniformed Services University of the Health Sciences
James G Smirniotopoulos, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, American Society of Head and Neck Radiology, American Society of Neuroradiology, American Society of Pediatric Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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