This is the third reported case of a posterior inferior cerebellar artery (PICA) aneurysm presenting as intractable hiccups (IH). A previously healthy 29-year-old woman was admitted with a 2-week history of hiccups occurring >100 times per minute. Symptoms persisted despite numerous noninvasive therapies. Magnetic resonance imaging and magnetic resonance angiogram of the brain showed a left PIC...

The authors present an extremely rare case of a 48-year-old female who developed repeated perianeurysmal edema at 2, 9, and 16 weeks after endovascular coil embolization for the ruptured intracranial aneurysm. Interestingly, the mechanism for this edema could be different at each time point in this case; acute thrombosis formation, chemical inflammation, and aneurysm recanalization. We have to ...

Background and Aim: In-hospital rebleeding and early aneurysm rupture are major causes of mortality and morbidity in aneurysmal subarachnoid hemorrhage. Rebleeding may occur at the referring hospital, during transfer or at the referral neurovascular center prior to surgical or endovascular treatment. However, there has been no report regarding the rate of in-hospital rebleeding and early aneury...

BACKGROUND AND PURPOSE Noninvasive imaging identifying a predictive biomarker of the bleeding risk of unruptured intracranial aneurysms (UIAs) is needed. We investigated a potential biomarker of UIA instability, myeloperoxidase, in human aneurysm tissue. METHODS Human brain aneurysms were harvested after clipping and were histologically and biochemically evaluated for the presence of myeloper...

BACKGROUND Risk prediction of rupture of intracranial aneurysms is poor and is based mainly on lumen characteristics. However, characteristics of the aneurysm wall may be more informative predictors. The limited resolution of currently available imaging techniques and the thin aneurysm wall make imaging of wall thickness challenging. OBJECTIVE To introduce a novel protocol for imaging wall th...

To cite: Grandhi R, Williamson RW, Zwagerman NT, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015212019 DESCRIPTION A 34-year-old man with a history of seizures presented after a generalised seizure. An MRI of the brain and MR angiogram of the brain (figure 1) were performed, demonstrating a partially thrombosed, giant intracranial aneurysm involving th...

INTRODUCTION A ruptured aneurysm associated with a pituitary apoplexy is rare. We present the first case report of the coexistence of a ruptured posterior communicating aneurysm with a surgically discovered pituitary apoplexy where the pituitary apoplexy had not been diagnosed by a pre-operative computerized tomography scan. CASE PRESENTATION A 31-year-old right-handed Chinese woman began to ...

Recent advancements in 3D imaging technology have helped the early detection of brain aneurysms before aneurysm rupture. Developing management strategies for aneurysms has been an active research area. Because some unruptured aneurysms are followed up with medical images over years, there is immediate need for methods to quantitatively compare aneurysm morphology to study the growth. We present...

Introduction:Intracranial hemorrhage (ICH) is divided into two traumatic and non-traumatic categories. The present study sought to investigate the anatomical properties of non-traumatic intracranial hemorrhage in Kerman, Iran. Method:A total of 305 non-traumatic ICH cases were chosen in Shafa medical center. Data from patients’ files and CT scan images, including demographic factors and type o...

Dear Editor,Abdominal aortic aneurysm is often asymptomatic, less recognized, and causes considerable mortality and morbidity, if missed. The incidence varies from country to country and the occurrence is influenced by modifiable (smoking, coronary heart disease, hypertension, dyslipidemia, and prolonged steroid therapy) and non-modifiable risk factors (increasing age, male gender, and positive...