Medi-Fax Atlas Series - Posterior Communicating Artery (PCA) Aneurysm

Medi-Fax Atlas Series

Atlas of Brain - Aneurysm and Other Vascular Anomalies

Editor: Dr. Chris Ekong

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Posterior Communicating Artery (PCA) Aneurysm

Contributor:

Dr. Chris Ekong

Case 31

Age: 46

Sex: Female

History: June 30, 2005. Headaches on/off for years. Now very severe. Has blurred vision and big left pupil.

Examination

Alert. Orientated. No neck stiffness. Left ptosis & 4 mm left fixed pupil.

Cerebral Angiogram



June 30, 2005 - Shows large left internal carotid and small ACA aneurysms

July 5, 2004 - Dr. Chris Ekong, Neurosurgeon, Regina

We admitted her over the long weekend for bedrest and treatment.

Now what?

- Surgery and coiling?

- One or both aneurysms?

July 5, 2004 - Dr. Chris Ekong, Neurosurgeon, Regina

She had a seizure today. GCS 15. Repeat CT shows SAH.


CT head July 5, 2005 showing SAH

Last Updated: December 30, 2005