INTRACRANIAL ANEURYSMSDR VINEET SAGGARM.B.B.S, MS, MCH(NEUROSURGEY)CONSULTANT DEPARTMENT OF NEUROLOGICAL ASPINAL SURGERYIV...
I.V DRRUG ABUSE – A CAUSE OFMULTIPLE ANEURYSMS IN BRAIN?- Neurovascular surgery( surgery of blood vessels in brain)is tech...
 Before coming to us he was seen by  neurosurgeons in tricity and was refused  treatment due to risk involved in the surg...
Plain Ct Head showing DiffuseSub Arachnoid Haemmorage
CT Angio Brain showing Multipleaneurysms LT MCA, RT Pcom and ANTchoroidal Artey aneurysms
POST OP SCAN
POST OP SCAN WITH CLIPS INSITU
 Two of the Aneurysms on the right side were  clipped in the same surgery By Dr Vineet  Saggar and patient was Discharged...
Patient Just beforeDischarge
WHAT ARE ANEURYSMS A cerebral or brain aneurysm is a  cerebrovascular disorder in which weakness  in the wall of a cerebr...
SIGNS AND SYMPTOMS Most common symptom is sudden severe  headache that can last from several hours to  days nausea and v...
 The ruptured aneurism (hemorrhage) may    also damage the brain directly, usually from    bleeding into the brain itself...
CAUSES Aneurysms may result from congenital  defects(MOST COMMON CAUSE), Preexisting conditions such as high blood  pres...
TREATMENTCurrently there are two treatment options for  securing intracranial aneurysms: Surgical clipping    or Endovas...
ANEURYSM CLIPS
SURGERY V/S COILING Although endovascular coiling is associated  with a shorter recovery period as compared  to surgical ...
A YOUNG 25 YEAR MALE WITHANEURYSM RUPTURE -Acandidate for Surgery
POST OP SCAN WITH ANEURYSMCLIP IN SITU
POST OP PIC OF PATIENTDURING RECOVERY
AFTER CRANIOPLASTY
 Dr. Vineet Saggar (MCh)  Neuro Surgeon / Spinal Surgeon  Chandigarh, Mohali -  Ivy Hospital Sector 71  +91-9855990990  h...
I.v drrug abuse – a cause of multiple aneurysms in brain
I.v drrug abuse – a cause of multiple aneurysms in brain
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I.v drrug abuse – a cause of multiple aneurysms in brain

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I.v drrug abuse – a cause of multiple aneurysms in brain

  1. 1. INTRACRANIAL ANEURYSMSDR VINEET SAGGARM.B.B.S, MS, MCH(NEUROSURGEY)CONSULTANT DEPARTMENT OF NEUROLOGICAL ASPINAL SURGERYIVY SUPERSPECIALITY HOSPITAL SEC-71, MOHALPUNJAB
  2. 2. I.V DRRUG ABUSE – A CAUSE OFMULTIPLE ANEURYSMS IN BRAIN?- Neurovascular surgery( surgery of blood vessels in brain)is technically most demanding of neurosurgical procedures- A rare neurovascular surgery was performed at ivy hospital few days back- A 35 years old male I/V drug abuser was admitted in our hospital with headache followed by loss of consciousness. .Patient had experienced similar episode few days back which was ignored by local general practitioner and he was discharged on analgesics
  3. 3.  Before coming to us he was seen by neurosurgeons in tricity and was refused treatment due to risk involved in the surgery We did angiography of brain vessels and found not one but three ANEURYSMS( Balloon like dilatation in wall of brain vessels) in his brain vessels , one of which has burst causing massive hemorrhaged in his brain
  4. 4. Plain Ct Head showing DiffuseSub Arachnoid Haemmorage
  5. 5. CT Angio Brain showing Multipleaneurysms LT MCA, RT Pcom and ANTchoroidal Artey aneurysms
  6. 6. POST OP SCAN
  7. 7. POST OP SCAN WITH CLIPS INSITU
  8. 8.  Two of the Aneurysms on the right side were clipped in the same surgery By Dr Vineet Saggar and patient was Discharged after two weeks with advice of surgery on opposite side after six weeks.
  9. 9. Patient Just beforeDischarge
  10. 10. WHAT ARE ANEURYSMS A cerebral or brain aneurysm is a cerebrovascular disorder in which weakness in the wall of a cerebral artery or vein causes a localized dilation or ballooning of the blood vessel. The general incidence of aneurysms in the population at large is of the order of 1%-2% Multiple aneurysms occur in 0.2% of the population
  11. 11. SIGNS AND SYMPTOMS Most common symptom is sudden severe headache that can last from several hours to days nausea and vomiting drowsiness and/or coma
  12. 12.  The ruptured aneurism (hemorrhage) may also damage the brain directly, usually from bleeding into the brain itself. This is called a “hemorrhagic stroke.” This can lead to: weakness or paralysis of an arm or leg trouble speaking or understanding language vision problems seizures
  13. 13. CAUSES Aneurysms may result from congenital defects(MOST COMMON CAUSE), Preexisting conditions such as high blood pressure and atherosclerosis (the buildup of fatty deposits in the arteries), or head trauma. Cerebral aneurysms occur more commonly in adults than in children but they may occur at any age. They are more common in women than in men, by a ratio of 3 to 2.
  14. 14. TREATMENTCurrently there are two treatment options for securing intracranial aneurysms: Surgical clipping or Endovascular coiling
  15. 15. ANEURYSM CLIPS
  16. 16. SURGERY V/S COILING Although endovascular coiling is associated with a shorter recovery period as compared to surgical clipping, it is also associated with a significantly higher recurrence rate after treatment Also coiling may not be the best options in patients with giant aneurysms , wide neck aneurysms or patients with massive bleed or large clots in brain as was in our case .
  17. 17. A YOUNG 25 YEAR MALE WITHANEURYSM RUPTURE -Acandidate for Surgery
  18. 18. POST OP SCAN WITH ANEURYSMCLIP IN SITU
  19. 19. POST OP PIC OF PATIENTDURING RECOVERY
  20. 20. AFTER CRANIOPLASTY
  21. 21.  Dr. Vineet Saggar (MCh) Neuro Surgeon / Spinal Surgeon Chandigarh, Mohali - Ivy Hospital Sector 71 +91-9855990990 http://www.neurosurgeoninchandigarh.com http://neurosergeonhead.blogspot.in http://www.facebook.com/neuro.surgeon.7186 http://www.linkedin.com/pub/dr- vineet/56/2a9/863 https://twitter.com/drvineetsaggar http://www.slideshare.net/neurosergeonhead

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