Asymptomatic Enlarging MCA Aneurysm (Note: Large Video Files)

Contributor:

Dr. Krishna Kumar

Consultants:

Dr. Mike Tymianski
Dr. Michael Schwartz
Dr. John Wong
Dr. Chris Ekong
Dr. J Max Findlay
Dr. Christopher Wallace
Dr. Cameron McDougall
Dr. Gary Steinberg

Case 30

Age: 53

Sex: Female

History: 1999. Ca Breast. Occasional headaches. Examination showed no deficit. CT head showed some suggestion of bilateral MCA aneurysms. Confirmed with angiogram.

December 2004 - Dr. Chris Ekong, Neurosurgeon, Regina

Occasional headaches. Neurologically intact CT head showed persistent aneurysms. They were getting bigger. Neither one has bled. Angiogram shown below.

March 2005 - Dr. Krishna Kumar, Neurosurgeon, Regina

- Now what?

- Surgery? Coiling, leave alone?

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