26/01/2022
We treated different spectrum of arterial dissection, ischemic and hemorrhagic in same patient. This patient was referred for endovascular coiling of distal anterior inferior cerebellar artery dissecting aneurysm, for acute subarachnoid hemorrhage. While waiting for surgery,patient developed right hemiplegia with aphasia secondary to spontaneous carotid dissection which was flow limiting.. initially treated aneurysm with coiling and PVO followed by carotid dissection with stenting. Post extubation, no neurological deficit was noted.
Dr Shrikant Londhe
Interventional Neuroradiologist
Noble Hospital,Pune.
