Neuro & Endovascular intervention Radiology

Middle aged male presented with seizures. CT/MRI revealed davf. DSA confirmed the same with isolated left transverse sinus with cortical reflux. Endovascular embolisation using onyx performed with complete exclusion of davf from circulation.

55 yrs old male presented with bilatersl lower limb paresthesia and bladder incontinence. MRI revealed flow voids involving epidural space. DSA revealed spinal epidural avf which is a rare entity. Endovascular embolisation was performed resulting in complete exclusion of avf from circulation.

72 yrs female presented with PCA stroke and severe headache. MRI revealed Pca stroke with sah and ivh. DSA revealed posteriorly pointing Acom aneurysm. Balloon assisted coiling performed with complete exclusion of aneurysm.

30 yrs old female presented with severe headache. CT/CTA revealed SAH with ruptured Acom aneurysm. DSA confirmed wide neck Acom aneurysm incorporating bilateral A2. Endovascular coiling with stent assistance was performed.

44 yrs male with sudden onset left side weakness and NIHSS 14. MRI/MRA revealed good aspects with non visualisation of right ICA. Mechanical thrombectomy by solumbra. TICI 3 recanalisation with single pass.

24 yrs old male presented with headache. Mri/Mra revealed ruptured proximal A1 aneurysm. DSA revealed diseased vessels suggestive of underlying vasculitis along with narrow neck A1 segment aneurysm and incidental lingual artery aneurysm. Successfully treated by simple coiling.

42 yrs female known case of SLE presented with seizures. MRI revealed partially thrombosed Acom aneurysm. Successfully treated by endovascular stent assisted coiling.

70 yrs female presented with severe headache. CT/CTA revealed basilar top aneurysm. Successfully treated by endovascular means by balloon assisted coiling via radial route. Final angiogram revealed complete exclusion of aneurysm from circulation.✌️

40 yrs female who had a previous SAH secondary to ICA terminus aneurysm which was treated by clipping. Follow up angiogram revealed incidental anterior choroidal segment aneurysm. Treated by endovascular means deploying a flow diverter.

60 yrs female presented with thunderclap headache. CT/CTA revealed Acom aneurysm. DSA confirmed posteriorly pointing Acom aneurysm. Successfully treated by stent assisted coiling.

40 yrs female diagnosed with left ICA ophthalmic segment aneurysm involving ventral aspect. Successfully treated by endovascular means using flow diversion technology. Waiting for follow up.

40 yrs male hypertensive presented with severe headache. CT/CTA revealed diffuse SAH with ruptured Acom aneurysm. DSA confirmed 2x2 mm aneurysm. Balloon assisted endovascular coiling was performed. Final angio revealed complete exclusion of aneurysm from circulation.

Elderly male hypertensive with sudden onset right UL and LL weakness. CT/CTA revealed ICH with small aneurysm arising from lateral lenticulostriate artery. DSA confirmed the above. Successful endovascular embolisation using NBCA was performed. One of the difficult cases in Neuroendovascular surgery. End result was good and satisfying.

Young female presented with lower limb monoparesis. MRI spine revealed multiple flow voids involving D8 level. DSA confirmed a pial avm with single feeder. Successful embolisation using NBCA performed.

Middle meningeal artery embolization for chronic sdh is showing promising results. Simple, minimally invasive can be done under LA. Waiting for follow up imaging

Young male presented with sudden onset severe headache. CT revealed pericallosal region bleed with intrapatenchymal extension. DSA revealed small DACA aneurysm. Treated by simple coiling.

Neuro & Endovascular intervention Radiology updated their phone number.

Female with BIH having headache with blurred vision. Ophthal examination showed papilledema. MRI revealed rt TS - Sigmoid jn stenosis. Patient not improving even after medical management. Decided to do pressure gradient measurement and stenting. Final outcome was good and the pressure gradients dropped immediately on table and symptoms got relieved.