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CEREBRAL _ANEURYSM_004/06 |
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CEREBRAL ANEURYSM
ENDOLUMINAL PROCEDURE
CASE 004/06 |
Woman of 58 years of age who presents frontal migraine of oppressive type, followed by sensation of sicknesses and loss of consciousness. Arrives hospital semicomatosa with little answer to verbal stimulation and left hemiparesia .
The CT of brain showed a subaracnoidea haemorrhage with intraventricular blood (Fisher 3).
Once stabilized and already with a Glasgow of 13, she was transferred to the room of angiography where a cerebral angiography was carried out, observing in this study the presence of a small sacular aneurysm of 4 mm of diameter maximum in topography of the previous communicant artery (arrow).
En In function of these findings the execution of an endovascular procedure is decided, ocluying the aneurysm completely with microespiras of platinum (coils).
After 3 weeks in the hospital and after surpassed the period of complications (vasospasmo) the patient left the hospital, without any neurological consequence.
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| PROCEDURE |
Fig.1
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Fig.2
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In the figure 1 we observe the right carotid angiography in forward incident that shows an aneurysm sacular in the union of the cerebral artery and previous communicant (arrow). In the figure 2 the micro catheter is observed through which the aneurysm is filled with coiles.
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| POST-PROCEDURE |
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The Figures 3 and 4 correspond to the angiographic controls post procedure in oblique and forward projection which show the complete occlusion of the aneurysm. Figure 5 corresponds to the angiography without forward substraction showing the cast of coïls inside the aneurysm (arrow)
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| CONCLUSIONS |
| The treatmet of cerebral aneurysms through endovascular techniques constitutes an efficient therapeutic , minimally invasive and with smalle risks than the open surgery against this pathology of so high risk. |
Pretreatment
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Posttreatmen
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| UTILIZED MATERIAL |
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Man of 49 years of age who begins a month ago with symptoms of intermittent yielding to the few meters. After physical exam emphasizes the absence of poplíteo pulse and distant in right lower member. 
Woman of 58 years of age who presents frontal migraine of oppressive type, followed by sensation of sicknesses and loss of consciousness.
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