Mobile CT brain post left posterior inferior cerebellar artery coiling following rupture

Case contributed by Chris Newman
Diagnosis certain


Post aneurysm coiling. For mobile CT in the ICU.

Patient Data

Age: 40 years
Gender: Female

Post-procedure mobile CT brain in the intensive care unit demonstrating aneurysm coils in the region of the left posterior inferior cerebellar artery (PICA).

Extensive subarachnoid hemorrhage, which is predominantly within the subarachnoid cisterns and within both Sylvian fissures. Intraventricular extension of blood.

Right frontal approach EVD. No hydrocephalus.

Pre-procedural diagnostic CT circle of Willis angiogram demonstrating the ruptured left PICA aneurysm with extensive subarachnoid hemorrhage and intraventricular extension of blood.

Case Discussion

Mobile CT brains can be utilized effectively for gross pathology, particularly when patients are in intensive care and the time and human resources that are required to transport the patient to the radiology department are excessive.

This case nicely demonstrates adequate post-procedure imaging of the PICA aneurysm coils, the volume of blood as well as any mass effect or new hydrocephalus.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.