Hemorrhage - Case 9 CTA
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1931-Hemorrhage - Case 9 CTA
View Images
CB1931-Hemorrhage - Case 9 CTA
Case ReportHistory
Exam
Prior Study
Findings
CTA
There is a right posterior saccular aneurysm. It points directly posteriorly. It has a small daughter aneurysm of its' apex. The vertical dimension is 6.8 mms; fundal width is 3.8 mms; neck width is 3 mms (relatively wide for fundal size). There is no appreciable vasospasm nor dissection or incorporation of the parent artery. There is a very small basilar tip pre-aneurysm approximately 1 mm in diameter.
The right temporal hematoma upwardly displaces the right MCA superior and inferior division distal branches. There is no residual left MCA aneurysm.
Impression
2. There is minimal to moderate external hydrocephalus and early optic hydrops.
3. There is early downward uncal herniation compressing the right cerebral peduncle.
4. There is a right P-com saccular aneurysm with a relatively wide neck for fundal size. There is no vasospasm nor incorporation of the parent artery in the aneurysm neck. It has a small apical daughter aneurysm. There is a small basilar apex pre-aneurysm.
5. There is no residual aneurysm in the left MCA treatment area.
