Balloon Test Occlusion for An Option to Decide Whether Simple ICA Ligation is Better Option than Trapping and High Flow Bypass of The Giant ICA Cavernous Aneurysm
Journal Title: Nepal Journal of Neuroscience - Year 2017, Vol 14, Issue 2
Abstract
Balloon Test occlusion (BTO) is a preoperative angiographic test used to estimate the risk of stroke after permanent therapeutic occlusion of an internal carotid artery (ICA) involved by aneurysms. Temporary balloon occlusion at the cavernous ICA aneurysm neck was performed in an attempt to assess the adequacy of cross fl ow from the opposite ICA. Adequate fl ow following BTO are preferred to have simple ICA ligation and incase of those who did not pass BTO trapping and high fl ow bypass is preferred .We have done Right ICA Ligation on our case report. Key Words: balloon test occlusion, cavernous segment aneurysm (CSA), digital subtraction angiography (DSA), internal carotid artery
Authors and Affiliations
Saujanya A Rajbhandari, MBBS
Investigating Epilepsy: CT and MRI in Epilepsy
10-20% of all epilepsy is intractable, despite treatment with antiepileptic medications to therapeutic levels. Accurate preoperative localization of the epileptic focus helps significantly in the intraoperative localizat...
Laughter - A Manifestation of Seizure: A Case Report and Review
A case with the rare manifestation of laughter as a clinical feature of seizure in a 13-year-old boy is reported. One year before presentation, he first had a sudden loss of consciousness. He slumped and fell down, with...
Concurrent Existence of Multiple Intracranial Aneurysms
Neuro View Box
The Influencing Factors of Acceptance of Disablility in Spinal Cord Injured Patients
The objective of this study was to examine the psychological factors related to acceptance of disability and to compare the correlated factors with duration of spinal cord injury (SCI). Demographic data, the Acceptance o...
Is Open Lumbar Micro- Discectomy Safe at Periphery of Nepal ?
Lumbar disc surgery is performed exclusively for disc herniation. Either low back pain, or sciatica or both are common presentations depending upon the levels of compressed nerve roots. Indications for surgery and MRI ne...