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General anesthesia superselective cerebral angiography, interventional embolization of left internal carotid artery aneurysm, stent placement. <br>Aspirin was taken after the operation to 6M after the operation. <br>Taking clopidogrel to 3M after surgery <br>. Main complaint: headache for 4+ days. <br>Medical history: 4 days before admission, there was no obvious cause of headache, persistent pain in the posterior occipital, with dizziness, occasional dizziness, no nausea, vomiting, no chills, fever, and no discomfort such as unstable walking. Further diagnosis and treatment were admitted to the hospital. <br>Past history: Have a history of hypertension for 5 years, the highest blood pressure is 220mmhg, take medication. <br>He has smoked for 20+ years, 10 cigarettes per day, and denied the history of drinking. <br>Nervous system physical examination: clear, correct answers, bilateral pupils with equal circle of about 3mm, sensitive to light reflection, eye movement in all directions, no nystagmus, bilateral frontal lines symmetrical, nasolabial folds symmetrical, tongue sticking out Centered, without skewed corners. <br>Extremities muscle tension is normal, limb muscle strength is grade 5, superficial and deep sensation is normal, extremities tendon reflex (++), bilateral finger-nose test, calcaneus-knee tibial test are normal, bilateral pathological signs (-), neck resistance (-) . <br>Imaging examination: CT examination of the head: A round, slightly high-density shadow is seen at the end of the intracranial segment of the right vertebral artery, with a size of about 1.2cm×1.6cm. The adjacent brainstem tissue is compressed, and the fourth ventricle is narrowed. Positional disease? <br>Aneurysm? . <br>Head MRA examination: aneurysm in the distal intracranial segment of the right vertebral artery may be associated with mural thrombosis; the petrosal segment of the right internal carotid artery may be swollen. Consider the possibility of aneurysm. <br>DSA prompts: 1. Localized enlargement of the petrous segment of the right internal carotid artery; 2. Irregular enlargement of the long segment of the distal vertebral artery seen on the right vertebral artery angiography; preoperative diagnosis: 1. The right internal carotid artery Treatment of dissecting aneurysm of bone segment and right vertebral artery aneurysm: oral aspirin 100mg and clopidogrel 75mg 3 days before surgery.<br>After general anesthesia, the 6F sheath is placed, the guiding catheter is placed at the proximal end of the right internal carotid artery, guided by a micro-guide wire, the stent catheter is placed in the artery bearing the tumor, and the micro-guide wire is guided after the micro-catheter is placed in the aneurysm cavity. A stent was released to cover the neck of the aneurysm, and multiple coils were assisted by the stent to embolize the dissecting aneurysm. The angiography showed satisfactory embolization, and the distal end of the internal carotid artery was well developed. <br>All 8 patients received treatment successfully.

Full hemp hyperselective cerebrovascular angiography, left cervical aneurysm intervention embolism, stent placement.<br>Take aspirin after surgery until 6M after surgery.<br>Take clopidogrel to 3M after surgery.<br>Main complaint: Headache 4 plus days.<br>Medical history: 4 days before the admission to the hospital no obvious cause of headache, the back pillow persistent swelling pain, accompanied by dizziness, no nausea, vomiting, fearless cold, fever, no walking instability and other discomfort, now for further diagnosis and treatment of hospital admission.<br>Past history: 5 years of history of hypertension, the most high blood pressure 220mmhg, medication treatment.<br>There are 20 plus smoking, 10 pieces/day, denied drinking history.<br>Nervous system check: Shenqing, to answer the question, two-sided pupils and other large and other large circle about 3mm, sensitive to light reflection, eyeball to all parties to the movement in place, no eye shock, two-sided forehead line symmetry, nasal lip groove symmetry, tongue center, mouth angle without skew.<br>The muscle tone of the limbs is normal, the muscle strength of the limbs is 5 levels, the shallow depth feels normal, the tendon strain of the limbs is normal, the two-sided finger-nose test, the joint knee palate test is normal, the two-sided pathological signs (-), the neck resistance (-).<br>Imaging examination: skull CT examination: right vertebral artery inner section of the end walking area see a class of circular slightly dense shadow, size of about 1.2cm x 1.6cm, adjacent brain stem tissue pressure, four ventricle narrow, consider occupancy lesions?<br>Aneurysm?.<br>Head MRA examination: right vertebral artery intracranial section of the long-range aneurysm combined attachment wall thrombosis may be; . . right intra-cervical artery section limitation stomp, considering the possible aneurysm.<br>DSA Tips: 1, right cervical artery bone section limitation puffing shadow; 2, right vertebral artery contrast see vertebral artery long segment irregular expansion change; preoperative diagnosis: 1. right cervical artery artery section mezzanine aneurysm, right right right vertebral mezzanine pulsating aneurysm treatment: oral aspirin 100mg, clopidogre 75mg 3 days before surgery.<br>Full hemp rear 6F crucible, placed guide catheter in the right neck artery near end, micro-guide guide, stent catheter placed in the carrier tumor artery, after micro-guide guide, micro-catheter placed in the aneurysm cavity, released a stent covering the aneurysm neck, stent assisted by several spring ring embolis mezzanine aneurystic, anime showed that the embolism is satisfactory, cervical artery far end rendering is good.<br>All 8 patients were successfully treated.

General anesthesia, superselective cerebral angiography, left internal carotid artery aneurysm interventional embolization, stent implantation.<br>Aspirin was taken after operation until 6m after operation.<br>Clopidogrel was administered to 3m postoperatively<br>Chief complaint: headache for 4 + days.<br>Medical history: 4 days before admission, there was no obvious cause of headache, persistent swelling and pain in the posterior occipital region, accompanied by dizziness, occasionally accompanied with dizziness, no nausea, vomiting, no fear of cold, fever, no walking instability and other discomfort, so we are hospitalized for further diagnosis and treatment.<br>Previous history: 5 years history of hypertension, the highest hypertension 220mmhg, medication treatment.<br>Smoking for 20 + years, 10 cigarettes / day, denied drinking history.<br>Physical examination of nervous system: Shenqing, answer the question to the point, the equal circle of bilateral pupils is about 3mm, sensitive to light reflection, eyeball movement in all directions in place, no nystagmus, bilateral frontal lines symmetry, nasolabial groove symmetry, tongue extension in the middle, no deviation of the mouth angle.<br>The muscle tension of limbs was normal, muscle strength of limbs was grade 5, superficial and deep sensation was normal, tendon reflex of limbs was (+ +), bilateral finger nose test, heel knee tibia test were normal, bilateral pathological sign (-), neck resistance (-).<br>Imaging examination: cranial CT examination: a kind of round slightly high-density shadow with the size of 1.2cm × 1.6cm can be seen at the end of the intracranial segment of the right vertebral artery. The adjacent brain stem tissue is compressed and the fourth ventricle is narrowed. Space occupying lesion is considered?<br>aneurysm?.<br>MRA showed that the aneurysms in the distal segment of the right vertebral artery might be associated with mural thrombosis; the petrous segment of the right internal carotid artery was limited and aneurysm was considered.<br>DSA showed: 1. Localized enlargement of the petrous bone segment of the right internal carotid artery; 2. Irregular enlargement of the distal segment of the vertebral artery in the right vertebral artery angiography; preoperative diagnosis: 1. Treatment of right internal carotid artery petrous bone dissection aneurysm and right vertebral artery dissection aneurysm: oral aspirin 100mg and clopidogrel 75mg three days before operation.<br>After general anesthesia, a 6F sheath was placed in the proximal end of the right internal carotid artery, guided by the micro guide wire, the stent was placed in the parent artery, guided by the posterior micro guide wire, the microcatheter was placed into the aneurysm cavity, a stent was released to cover the aneurysmal neck, and multiple coils were used to embolize the dissecting aneurysm under the assistance of stent. Angiography showed that the embolization was satisfactory and the distal end of internal carotid artery was well developed.<br>All 8 patients were treated successfully.<br>