Giant aneurysm of basilar artery

Case contributed by G Balachandran

Presentation

History of chronic headache. The patient initially had a CT scan done. He was referred for ruling out aneurysm.

Patient Data

Age: 85 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Axial T2W shows the enlarged left vertebral artery, measuring A 2.5 X 2.7 CMS. round mass in pre-pontine cistern. The lesion is predominantly hyperintense. There is evidence of hemorrhage within the lesion. TOF sequence shows the sac of the basilar artery aneurysm. Note the normal terminal segment and PCA branches.

Contrast-enhanced MRI shows the giant aneurysm of basilar artery mid-segment. The neck of the aneurysm is seen on coronal plane.

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