Dr. Amitabha Chanda

MBBS(Gold Medalist), MS(Gold Medalist)

MCh(Neurosurgery)

Consultant Neurosurgeon

Apollo Hospitals, Dhaka

Bangladesh

Intracranial Aneurysm

This 45-year-old lady presented with severe headache, vomiting and unconsciousness. CT scan of brain showed subarachnoid hemorrhage with a small intracerebral hemorrhage. A cerebral angiogram was done. It showed an aneurysm at the bifurcation of internal carotid artery. She was operated and the aneurysm was clipped. She had excellent recovery. She is back to her normal life.
Right internal carotid artery bifurcation aneurysm
Arteriovenous Malformation
A 34-year-old woman presented with headache and convulsion. CT scan, MRI and angiogram of brain showed an arteriovenous malformation (AVM) in left temporal lobe of brain. Arteriovenous malformation is an inborn abnormality of blood vessel of brain, which usually manifests in later age either by causing hemorrhage or by causing epileptic fits. She was operated and the AVM was completely resected.
Left temporal AVM
Left Temporal Arteriovenous Malformation (AVM)
 
Anterior Communicating Artery Aneurysm
This 65-year-old lady presented with sudden onset of severe headache and vomiting. Ct scan showed subarachnoid hemorrhage. CT-angiogram and cerebral DSA showed anterior communicating artery aneurysm. The aneurysm has ruptured. This is a potentially life-threatening situation, as another rupture might cause death. The aneurysm needed to be secured to prevent rupture. The lady was operated and the aneurysm was clipped. The lady had uneventful recovery.