Brain: Aneurysm / AVM

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BOARD 1
1. Layers of an artery
2. Blood flow through artery
3. Aneurysm


BOARD 2
1. Aneurysm necks


BOARD 3
1. Saccular aneurysm
2. Fusiform aneurysm
3. Dissection pseudoaneurysm with “daughter sac”


BOARD 4
1. Orientation view
2. Normal artery with blood flow
3. Aneurysm
4. Burst aneurysm


BOARD 5
1. Coronal view of vasculature to brain
2. Circle of willis


BOARD 6
1. Circle of willis with percentages of where aneurysms can be located


BOARD 7
1. 15-17 mm aneurysm in A1 segment anterior cerebral artery


BOARD 8
1. 3mm aneurysm in A1 segment anterior cerebral artery


BOARD 9
1. Angle of view
2. Axial view of brain with arteries with 6 mm aneurysm of right internal carotid artery
3. Detail of aneurysm


BOARD 10
1. Inferior view of brain with arteries
2. Superior cerebellar artery aneurysm progression of growth


BOARD 11
1. Axial view of brain with arteries at level of brain stem
2. Superior cerebellar artery aneurysm progression of growth


BOARD 12
1. Cranial base and meninges (superior view) with left supraclinoid ICA aneurysm


BOARD 13
1. Superior view of patient on table
2. Bur holes in skull
3. Surgical view
4. Surgeon using microscope to view surgical area
5. Normal optic chiasm with circle of willis
6. Surgical view of left supraclinoid internal carotid artery aneurysm


BOARD 14
1. Skin flap retracted
2. Craniotomy performed
3. Sylvian fissure entered and hematoma evacuated
4. Detail of ruptured middle cerebral artery aneurysm
5. Aneurysm clip placed at neck of aneurysm


BOARD 15
1. Collateral flow around clipping of aneurysm on A1 segment of circle of willis


BOARD 16
1. Orientation view
2. 7-8 mm aneurysm with daughter aneurysm


BOARD 17
1. Clipping of Aneurysm


BOARD 18
1. ORientation view of circle of willis
2. Diagram of circle of willis
3. Anterior / superior view of circle of willis with aneurysm


BOARD 19
1. Left Superior Lateral view of circle of willis with aneurysm


BOARD 20
1. First attempt to coil: pathway to aneurysm via right ICA


BOARD 21
1. Left Anterior Superior Lateral view of circle of willis with aneurysm


BOARD 22
1. Second attempt to coil: pathway to aneurysm via left ICA


BOARD 23
1. Third attempt to coil: pathway to aneurysm via right ICA


BOARD 24
1. Lateral view of brain with arteries and left internal carotid artery aneurysms
2. Detail of 6x4 mm and 8x6 mm aneurysm


BOARD 25
1. Lateral view of brain with micro catheter going to location of aneurysm
2. Micro catheter in left internal carotid placing coils into both aneurysms


BOARD 26
1. Lateral view of brain with micro catheter advancing beyond location of aneurysm
2. Micro catheter in left internal carotid placing stent


BOARD 27
1. Orientation view
2. Thrombosed aneurysm with hemorrhage


BOARD 28
1. Thrombosed aneurysm with hemorrhage
2. Normal artery
3. Aneurysm
4. Thrombosis within aneurysm and additional bleed


BOARD 29
1. Bleeding from ruptured aneurysm into ventricles
2. Ruptured aneurysm


BOARD 30
1. Bleeding from aneurysm thrombosis
2. Aneurysm filled with thrombus stopping bleeding


BOARD 31
1. MRI and color enhancement: large left temporal thrombosed aneurysm with hemorrhage and intraventricular extension of hemorrhage


BOARD 32
1. Normal capillary bed
2. Arteriovenous malformation


BOARD 33
1. Vasculature to brain
2. Normal capillaries on brain
3. Arteriovenous malformation


BOARD 34
1. Right lateral view of brain with cavernous malformation
2. Axial view of cavernous malformation
3. Detail of nOrmal capillaries
4. Detail of cavernous malformation