0:00

This was, uh,

0:01

I thought it was a very interesting case and I think everyone really did well on

0:04

this case. This is a pretty, I remember this case 'cause I, I read this out.

0:09

The patient kind of walks in and literally has vision loss.

0:13

And so I remember looking at this case, I'm like, what in the world? But,

0:17

you know,

0:17

this is a really nice example of a large giant aneurysm that's involving

0:22

the, um, the, uh, carotid terminus.

0:26

So you can see on this particular image on the, the right hand side, you know,

0:30

with the leap of faith, you can see what it's doing to the optic chiasm.

0:33

It's actually displacing the optic chiasm infra laterally. Um,

0:37

and here's the part of the cor cavernous portion of the carotid artery,

0:40

another portion of the carotid artery.

0:42

So this is really the supra glenoid portion.

0:44

There's a cavernous segment and you can see how this aneurysm is involving the

0:48

expected location of the supra glenoid carotid artery extending into the carotid

0:52

terminus. Um,

0:54

the one thing that can tell you that this is a pulsating aneurysm is,

0:58

especially when we give contrast,

0:59

you can see the pulsation on the frequency and code encoding direction.

1:04

So, uh, I don't think this happened with this group,

1:06

but sometimes people will say, well, this a partially thrombo aneurysm.

1:10

And really on the T two weighted image, it looks completely a,

1:14

has a lot of flow.

1:15

And then the pulsation artifacts here that you see on the chron images,

1:19

this really tells you that there's a lot of wall motion in this case.

1:22

So this is just a very, um, unusual case of a patient that presented with, um,

1:27

vision loss due to a giant aneurysm.