Microsurgical clipping of pica aneurysm

1. Microsurgical
Clipping of PICA
Aneurysm
Presented by
Dr. S. M. Monir Hossain
Assistant Registrar, Clinical Neurosurgery
National Institute of Neurosciences & Hospital.

2. Particulars of the patient
 Name: XXXX XXXX XXXXX
 Age: 34 years
 Sex: male

3. Presenting Complaints
 H/O unconsciousness 10 days back
 Headache
 Nausea, vomiting
 Visual impairment

4. Clinical examination
 GCS: 15/15
 No focal Neurological deficit
 Vision: on both eye-
only Light detection possible.
Finger counting not possible

6. Investigations

7. DSA

8. Surgical Approach

10. Post operative

12. Post-op Complications
 Lower cranial nerve palsy
 CT Scan is normal
 Electrolytes are normal.

13.  Patient was discharged on 8th
POD with no
deterioration.