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29 Year Old Woman With a Brain Aneurysm

Presented by: H. Jain, and M. Tymianski

 

History and Examination:


  • 28-year old female, right-handed, smoker
  • Investigated for a ‘fainting spell’
  • Normal physical exam
  • CT and MRI/MRA Performed as part of investigation for headaches.


 

MRI/MRA:

   

Note: Click to see enlarged images.


 

Cerebral Angiogram:

 


Angiogram done on 07/10/1998.
Click to see enlarged image.

 

 

What is the Diagnosis?


Saccular vs. Dissecting

What to do?