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Microsurgical
Clipping of PICA
Aneurysm
Presented by
Dr. S. M. Monir Hossain
Assistant Registrar, Clinical Neurosurgery
National Institute of Neurosciences & Hospital.
Particulars of the patient
 Name: XXXX XXXX XXXXX
 Age: 34 years
 Sex: male
Presenting Complaints
 H/O unconsciousness 10 days back
 Headache
 Nausea, vomiting
 Visual impairment
Clinical examination
 GCS: 15/15
 No focal Neurological deficit
 Vision: on both eye-
only Light detection possible.
Finger counting not possible
Investigations
DSA
Surgical Approach
Post operative
Post-op Complications
 Lower cranial nerve palsy
 CT Scan is normal
 Electrolytes are normal.
 Patient was discharged on 8th
POD with no
deterioration.
Microsurgical clipping of pica aneurysm

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Microsurgical clipping of pica aneurysm