Case 1 An elderly patient presented with insidious onset of sensorineural hearing loss. The past history was unremarkable except for insidious onset of weakness of left lower limb. Physical examination revealed left hemiparesis with upgoing left plantar. Magnetic resonance imaging (MRI) of brain revealed a large flow void in the interpeduncular cistern suggestive of aneurysm arising from the to...

CLINICAL HISTORY A 32-year-old woman with migraine without aura, occurring on average two times per month since she was a teenager, was concerned about her risk of an aneurysm and requested evaluation. Her mother died at aged 58 years from a ruptured intracranial saccular aneurysm; there was no other relevant family history. I ordered an MRI scan of the brain with intracranial magnetic resonanc...

It is surprising when a patient’s care-taker informed the doctor that their family member could suddenly speak in different accent. Here we reported case of young female with infective endocarditis (IE), who later developed foreign accent syndrome during her stay hospital ward. A plain computed tomography (CT) scan brain was performed and it showed coarse irregular calcific lesion left frontal ...

Filamin A is a protein essential for cytoskeleton production, encoded by the X-lined dominantly inherited FLNA gene. deficiency in filamin can lead to cardiac valvular dysplasia and periventricular nodular heterotopia brain. Notably, Type 1 has associations with cardiovascular abnormalities. We report case of 40-year-old woman who visited emergency department due shortness breath, intermittent ...

We report a case of spinal subarachnoid hemorrhage (SAH) caused by rupture of a mycotic anerurysm. A 59-year-old woman was admitted to our hospital with a sudden onset of headache and tetraparesis. Computed tomography (CT) scan of the brain revealed SAH, and magnetic resonance imaging (MRI) of the cervical spine showed an acute intradural hematoma. On angiogram, a saccular aneurysm was found on...

A patient with a history of pituitary tumour treated with yttrium 29 years before presented with an asymmetrical chiasmal neuropathy. Magnetic resonance imaging showed a partially thrombosed giant aneurysm of the right internal carotid artery, with enhancement of the chiasm and right optic tract adjacent to the aneurysm. It was thought that, in addition to the effects of compression, a peri-ane...

PURPOSE To describe an episode of acute jugular venous desaturation during intraoperative rupture of a cerebral aneurysm. CLINICAL FEATURES A 57-yr-old patient was scheduled for clipping of a large unruptured basilar tip aneurysm. Abrupt bulging of the brain was observed after bone flap removal, but before dura was opened. This was associated with concurrent development of systemic hypertensi...

azygos vein aneurysm is a rare cause of a posterior or paratracheal mediastinal mass. trauma or conditions causing elevated flow or pressure in the azygos system, such as cardiac failure or cirrhosis of the liver are secondary causes of aneurysm of the azygos vein. we report a case of asymptomatic saccular aneurysm of the azygos vein in a 45-year-old man with blunt minor chest trauma. the azygos...

OBJECTIVE To report our surgical experience using in situ end-to-side bypass for giant serpentine distal anterior cerebral artery aneurysm, unsuitable for microsurgical clipping. METHODS A 49-year-old woman presented with headache and intermittent loss of consciousness. The brain computed tomography scan revealed a partially calcified mass in the interhemispheric fissure. On cerebral angiogra...

The accessory middle cerebral artery can provide collateral blood supply in moyamoya disease. We report a case of unilateral moyamoya disease which demonstrates the anatomy of the right accessory middle cerebral artery and a ruptured peripheral aneurysm on the artery. Our patient was a 56-year-old woman who initially suffered from headache and lethargy. Right caudate nucleus hemorrhage with int...