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The order of the factors does alter the result.

Last update on May 23, 2022

Find out how Óscar Medina-Carrillo and Gustavo Melo-Guzmán treated a 50-year-old female patient suffering from headaches for 30 years! 

Case

PATIENT 

  • 50 YO female
  • Headaches for 30 years
  • Hypothyroid for 5 years
  • Incidental dorsolateral saccular aneurysm of the ophthalmic segment of the right ICA partially clipped in 2018 elsewhere

CT ANGIOGRAPHY

1-the-order-of-the-factors-does-alter-the-result-ct-angiography-1
2-the-order-of-the-factors-does-alter-the-result-ct-angiography-2

DSA

3-the-order-of-the-factors-does-alter-the-result-dsa

 

  • Medium dorsolateral saccular aneurysm of the ophthalmic segment of the right ICA; 8.15x8.66 mm
  • Right occipital AVM Spetzler-Martin III

 

DSA CLOSE UP

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TREATMENT PLAN AND ORDER

  • Aneurysm embolization first? How? Coiling, Jailing, FD?
  • AVM embolization first? Why?
  • AVM resection after embolization?

AVM EMBOLIZATION

  • Embolization in two times
  • Performed with 1.5ml of EVOH 18
  • 2 months between embolization times

 

7-the-order-of-the-factors-does-alter-the-result-avm-embolization

DSA POST EMBOLIZATION

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DSA POST-SURGICAL AVM RESECTION

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11-the-order-of-the-factors-does-alter-the-result-dsa-post-surgical-avm-resection-2

ANEURYSM EMBOLIZATION

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FINAL DSA

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