Consults
Consult 2 | Consult 3 | Consult 4

Consult 1
Presenter: Dr. Chris Ekong

Age: 55
Sex: Female
History: Sudden onset of severe headaches followed by brief loss consciousness.
Examination: GCS 14. Moderate neck stiffness. No lateralizing signs.


Pre-op images
CT of head showing extensive S.A.H. on admission day.

 
MRA showing basilar tip Aneurysm and posterior fossa A.V.M..

 
Angiograms
Right vertebral AP view showing A.V.M. and basilar tip aneurysm.

 
Right vertebral oblique view showing A.V.M. and basilar tip aneurysm.

 
Right vertebral lateral view showing A.V.M. and basilar tip aneurysm.

 
Left vertebral lateral view showing A.V.M. and basilar tip aneurysm.

 
Left vertebral AP view showing A.V.M. and basilar tip aneurysm.

 
Click here to go to March 22, 2000 rounds case 2.

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Consult 2
Presenter: Dr. Fred Gentili, Toronto

Age: 55
Sex: Female
History: Presenting with headaches and visual disturbance.
Examination: V/A right eye 20/60, left eye 20/40. No other neuro deficit.


Pre-op images


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Consult 3
Presenter: Dr. Fred Gentili

Age: 52
Sex: Male
History: 2 years of left ptosis, recently developed diplopia.
Examination: No headaches or other complaints. Complete left 3rd and 6th CNP, V/A normal, decreased sensation V1.

Pre-op images


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Consult 4
Presenter: Dr. Fred Gentili

Age: 67
Sex: Male
History: Presented with headaches and visual disturbance. Prolactin normal.
Treatment: Endoscopic resection of pituitary adenoma.

Pre-op images


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