Previously, Ms. TTL (42 years old, residing in Cua Viet commune) was admitted to the Cardiology Department of Quang Tri Provincial General Hospital due to persistent and increasingly severe headaches, particularly on both temples.
Approximately one week before hospitalization, the patient began experiencing dull pain in the occipital region. This pain then became constant at night and did not respond to conventional pain relievers.
Suspecting an abnormality in the cerebral vascular system, doctors immediately ordered a CT angiography scan of the patient's brain upon admission. The imaging results revealed a large aneurysm in the left internal carotid artery, measuring approximately 10 x 8 x 6 mm, located in the ophthalmic artery segment.
The patient was immediately referred to an interdisciplinary consultation involving Cardiology and Diagnostic Imaging. The doctors determined that the aneurysm was located in a deep anatomical position, close to the base of the skull, directly connected to the blood vessels supplying the brain and vision, making the case complex and high-risk.
If left untreated, an aneurysm can rupture, causing cerebral hemorrhage or subarachnoid hemorrhage, leading to stroke, coma, and life-threatening conditions; the mortality rate can be as high as 100% if it ruptures.
Given the situation, the doctors prescribed treatment for the aneurysm using a flow-diverting stent technique under digital subtraction angiography (DSA) – a modern neurovascular intervention method requiring specialized equipment and a highly skilled team.
Post-intervention images showed the stent pressed against the vessel wall, completely covering the aneurysm neck, significantly reducing blood flow into the aneurysm, while ensuring good cerebral perfusion, with anterior cerebral circulation reaching TICI 3.
Five days after the intervention, the patient's health showed no abnormalities, their vision was clear, their headaches were significantly reduced, and they were discharged in stable condition.
Source: https://baophapluat.vn/can-thiep-thanh-cong-ca-phinh-mach-mau-nao-o-sat-nen-so.html
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