2018 AANS Annual Scientific Meeting-Cerebrovascular Panel/Case Discussions

Video Transcription

Video Summary

The video transcript covers a panel discussion about various cases of aneurysms. The panel consists of neurosurgeons who discuss the treatment options for each case based on the patient's presentation and the characteristics of the aneurysm. In the first case, a patient with a large unruptured posterior cerebral artery (PCA) aneurysm is discussed. The panel agrees that treatment is necessary due to the size and potential risk of rupture. The options of surgical clipping or endovascular coiling are discussed, and the panel leans towards surgical clipping. In the second case, a patient presents with a ruptured distal internal carotid artery (ICA) aneurysm. The panel agrees that treatment is necessary due to the subarachnoid hemorrhage but is divided on the choice of treatment, with some advocating for endovascular coiling and others favoring surgical clipping. In the final case, a patient presents with a visual decline and is found to have a large aneurysm compressing the optic nerves. The panel agrees that surgical decompression is necessary and discusses the best approach to preserve blood flow and improve vision. Overall, the panel provides insights into the decision-making process for treating aneurysms based on their location, size, and patient-specific factors.

Keywords

panel discussion

aneurysms

neurosurgeons

treatment options

surgical clipping

endovascular coiling

subarachnoid hemorrhage

visual decline