Neuroradiology

Aneurysms in the Circle of Willis

Left Image: MCA aneurysm. Cerebral angiogram showing middle cerebral artery aneurym.
Centre Image: Anterior communicating artery aneurysm. Oblique view of cerebral angiogram showing an anterior communicating artery aneurtsm (on left of image).
Right Image: Clipped MCA aneurysm. Post-operative cerebral angiogram showing a clipped MCA aneurysm (skin staples visible).

Aneurysms in the Circle of Willis

Subarachnoid Hematoma

Image A. Axial CT image with blood filling the suprasellar cistern, ambient cisterns, interhemispheric fissure, and sylvian fissures in the classic star pattern.

Image B. Subarachnoid hemorrhage and aneurysm. Axial non-contrast CT image showing a SAH and right MCA aneurysm with mild hydrocephalus seen by the prominent temporal horns of the lateral ventricles.

Image C. CT without contrast showing blood in basal and suprasellar cisterns, interhemispheric and Sylvian fissures

[Courtesy of Dr. J. Spears]

Subarachnoid Hematoma