Author: VONGSFAK Jirapong
Discover the case of a 42-year-old male who presented with a sudden, severe headache scoring 10/10 on the pain scale, accompanied by nausea and vomiting. With a history of chronic mitragyna (kratom) ingestion for over a decade, the diagnosis unveiled mitragyna-induced ruptured multiple saccular aneurysms within the vertebro-basilar artery, along with an unruptured wide-neck aneurysm at the upper basilar trunk. The treatment plan was twofold: simple coil embolization for the unruptured saccular aneurysm and stent-assisted coil embolization for the ruptured aneurysm. Watch it now!
Pediatric ICA aneurysm