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. 2024 Sep 30;19(4):618–625. doi: 10.1055/s-0044-1791268

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Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ )

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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Fig. 4 — Case-3. ( A ) Initial axial noncontrast computed tomography (NCCT) of the brain showing intracerebral hemorrhage (ICH) in the left frontal lobe in a para-alpine location without any mass effect. ( B ) Repeat NCCT done at the time of admission showed minimal resolution of hematoma. ( C ) Native anteroposterior (AP) and ( D ) subtracted digital subtraction angiography (DSA) images of the left internal carotid artery (ICA) injection show a dissecting aneurysm of the left distal pericallosal artery. ( E ) Fluoroscopic image of microcatheter injection in the left pericallosal artery proximal to the aneurysm showing the aneurysm and distal artery. ( F ) Fluoroscopic image showing the glue injected within the aneurysm sac with sparing of the neck to preserve the parent artery. ( G ) Immediate postglue DSA run showing near complete obliteration of aneurysm with minimal staining of the wall. Delayed native DSA image ( H ) without contrast and ( I ) after contrast showing the glue cast ( white arrow ) with complete aneurysm occlusion and preserved parent artery ( black arrows ).