Sunday, 25 December 2016

PCOM aneurysm clipping with anterior choroidal artery infarct

•        Findings:
–       Recent right pterional craniotomy surgery.
–       Right para sellar streak artifact from Aneurysm clips at PCOM
–       Low attenuation at the right genu of internal capsule suggestive of an acute infarct, area of involvement corresponds to anterior choroidal artery territory.
•        Pt wakes up with hemiparesis.

•        A one of devastating complication of PCOM aneurysm clipping.

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