Sunday 12 August 2007

CPA aneurysm

1% of CPA lesions
PICA > VA > AICA

Clinical presentation:
SNHL in 70%, facial nerve palsy in 60%, SAH in 50%, hemifacial spasm
CT:
Ovoid lesion with calcium rim
Enhances

MR:
Complex layered signal, low flow void on T1, high on T2 (methHb)
Does not enter IAM