Supraclinoid Aneurysm- A Case Report
Case Submitted by Dr MGK Murthy Sr Consultant Teleradiology Providers
Case Details and Discussion
55 yr old lady complains of chronic headache of 10 yrs duration with increasing severity
she is normotensive and has no neurological deficit Routine MRI shows well defined regular heterogenous altered signal intensity extraaxial lesion in left paracavernous and supraclinoid locations with an intensely enhancing nodule within on contrast as well as hypointense periphery with no significant perilesional oedema- likely to be partially thrombosed internal carotid giant aneurysm with thrombus within. DSA is the solution. At times Meningimas which are cystic, haemangioblstomas and pilocytic astrocytomas could present a diagnostic difficulty. However intense nodular enhancement, lack of perilesional oedema, chronic headache of long duration with no deficit are supportive of aneurysm. Supraclinoid component is suggested as intracavernous ICA appears compressed and shows normal flow void.
she is normotensive and has no neurological deficit Routine MRI shows well defined regular heterogenous altered signal intensity extraaxial lesion in left paracavernous and supraclinoid locations with an intensely enhancing nodule within on contrast as well as hypointense periphery with no significant perilesional oedema- likely to be partially thrombosed internal carotid giant aneurysm with thrombus within. DSA is the solution. At times Meningimas which are cystic, haemangioblstomas and pilocytic astrocytomas could present a diagnostic difficulty. However intense nodular enhancement, lack of perilesional oedema, chronic headache of long duration with no deficit are supportive of aneurysm. Supraclinoid component is suggested as intracavernous ICA appears compressed and shows normal flow void.
Supraclinoid Aneurysm- A Case Report
Reviewed by Sumer Sethi
on
Thursday, February 08, 2007
Rating:
Reviewed by Sumer Sethi
on
Thursday, February 08, 2007
Rating:
Sumer Sethi
Unique blend of academic excellence and entrepreneurship, heading leading firms in India- Teleradiology Providers, pioneering company providing teleradiology services and DAMS (Delhi Academy of Medical Sciences) Premier test preparation institute in India for MD/MS/MCI preparation. He has also been an invited faculty member at various conferences, including Teleradiology in IRIA 2008 and 2011, Hospital Build Middle East, Congress of the Brain Tumor Radiology in Neuro-oncology Society. Dr. Sethi is Editor-in-Chief of Internet Journal of Radiology. He has a keen interest in Web 2.0 technologies and in maintaining his famous radiology blog, which has been featured in multiple international journals.
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