The incidence of basilar artery fenestration is approximately 0.6% in angiographic studies and more in autopsy studies [1]. The most common site of basilar artery fenestration is proximal part [2]. Basilar artery fenestration aneurysms are very rare, posing unique challenges. Reported incidence of aneurysm at basilar artery fenestration site is 7% [3]. Surgical treatment of such aneurysm is usu...

SUMMARY A replica of a lethal wide-necked basilar artery aneurysm was created by casting a deceased patient's brain vessels and then placing the replica in a circuit of pulsating optically clear non-Newtonian fluid. Individual fluid slipstreams were opacified with isobaric dyes, and images were recorded on film. Studies were completed on the vascular replica, then were repeated, first after pla...

Distal middle cerebral artery aneurysm is rare and can develop from trauma, infection, atherosclerosis, or surgery. Nasogastric (NG) tube insertion is a common and safe procedure for stroke patients with dysphagia. In this case, the patient showed right internal border-zone infarction without major arterial occlusion. Magnetic resonance angiography of the brain showed no intracranial aneurysm. ...

Background and Aim: This study aimed at analyzing the demographic characteristics of the patients with non-traumatic intracranial hemorrhage, their angiographic results and the correlation between computed tomography (CT) scan and angiography findings. Methods and Materials/Patients: In a descriptive study, we retrospectively reviewed the records of the patients with non-traumatic intracranial...

Figure 1. A. Axial brain computed tomography (CT)angiography showing a giant left (Lt) distal internal carotid artery (ICA) aneurysm. B. Axial transcranial sonogram (mesencephalic level): Butterfly-shaped midbrain was encircled for better visualization (solid lines). Arrows indicate the coiled distal ICA aneurysm. He was monitored via daily transcranial sonography (TCS) for the potential develo...

Pancreaticoduodenal artery aneurysm is a rare complication of coeliac artery stenosis secondary to a low lying median arcuate coeliac ligament. This article reports the case of a 69-year old man who presented with left arm and leg weakness, clinically in keeping with right hemisphere stroke. Initial CT brain scan was within normal limits. The patient did not receive thrombolysis as he was outsi...

When operating on a false aneurysm arising in the ascending aorta, protruding over the sternum, and eroding the sternum, the problems are how to approach the aneurysm and how to preserve the myocardium and the brain safely. In the present case, the operation was performed for the first time, to the best of our knowledge, safely by flipping up the eroded upper half of the sternum with separated ...

Abstract Background The combined approach to complex brain ??? aneurysm seems be generally considered viable. Although it is fairly common, the combinations of modalities, which are suggested in different case reports, vary significantly. This discusses a sequential reconstructive microsurgery with internal maxillary-to-middle cerebral artery bypass followed by balloon test occlusion and endova...

Background: A 3-year-old girl presented with a 6-day history of severe headaches. On examination, upper motor neuron signs were noted in the left and lower extremities increased tone, reflexes, positive Babinski sign. MRI brain revealed giant right middle cerebral artery (MCA) aneurysm significant mass effect, associated edema ventricular effacement. CT angiogram showed evidence aneurysmal wall...