Journal Of Cardiovascular, Neurovascular & Stroke

Malaysian Congress of Radiology's Abstracts 1

Malaysian Congress of Radiology — Wed, 31 Dec 2025 00:00:00 +0000

Malaysian Congress of Radiology's Abstracts 2

Malaysian Congress of Radiology — Wed, 31 Dec 2025 00:00:00 +0000

Malaysian Congress of Radiology's Abstracts 3

Malaysian Congress of Radiology — Wed, 31 Dec 2025 00:00:00 +0000

Malaysian Congress of Radiology's Abstracts 4

Malaysian Congress of Radiology — Wed, 31 Dec 2025 00:00:00 +0000

Malaysian Congress of Radiology's Abstracts 5

Malaysian Congress of Radiology — Wed, 31 Dec 2025 00:00:00 +0000

Malaysian Congress of Radiology's Abstracts 6

Malaysian Congress of Radiology — Wed, 31 Dec 2025 00:00:00 +0000

Malaysian Congress of Radiology's Abstracts 7

Malaysian Congress of Radiology — Wed, 31 Dec 2025 00:00:00 +0000

Malaysian Congress of Radiology's Abstract 8

Malaysian Congress of Radiology — Wed, 31 Dec 2025 00:00:00 +0000

Malaysian Congress of Radiology's Abstract 9

Malaysian Congress of Radiology — Wed, 31 Dec 2025 00:00:00 +0000

Malaysian Congress of Radiology's Abstract 10

Malaysian Congress of Radiology — Wed, 31 Dec 2025 00:00:00 +0000

NEUROENDOVASCULAR COILING OF BERRY ANEURYSMS IN A PATIENT WITH AUTOSOMAL-DOMINANT POLYCYSTIC KIDNEY DISEASE: WHEN TO SOUND THE ALARM

Wed, 31 Dec 2025 00:00:00 +0000

Background: Autosomal Dominant Polycystic Kidney Disease (ADPKD) is the most prevalent inherited cause of end-stage renal disease. A critical extra-renal manifestation is the development of saccular intracranial aneurysms or berry aneurysms, which significantly increase morbidity and mortality in these patients.

Case Report: A 50-year-old female with a known right middle cerebral artery (MCA) aneurysm presented with persistent headache. Follow-up imaging five years later revealed the interval development of a new aneurysm in the right anterior cerebral artery (ACA) and an increase in the size of the original right MCA lesion. Successful endovascular coil embolization was performed, resulting in complete lesion obliteration and symptom resolution.

Conclusion: Intracranial aneurysms represent a serious threat in patients with ADPKD. Prompt intervention is indicated, particularly for high-risk individuals demonstrating signs of aneurysm growth, which suggests impending rupture. Endovascular coil embolization offers a safe and minimally-invasive management approach. For optimal screening efficiency, baseline Magnetic Resonance Angiography (MRA) screening is recommended starting at 30 years of age for high-risk patients.

CEREBRAL VENOUS AIR EMBOLISM IN A PATIENT WITH SUPERIOR VENA CAVA OCCLUSION

RADHIANA HASSAN, INTAN BAZILAH ABU BAKAR — Wed, 31 Dec 2025 00:00:00 +0000

Introduction: Large cerebral venous air embolism (CVAE) is a rare but serious complication generally attributed to invasive central venous instrumentation or neurosurgical procedures. However, in patients with significant hemodynamic alterations, such as superior vena cava (SVC) occlusion, CVAE can develop through unique retrograde mechanisms following routine care.

Case Report: A 58-year-old male with Stage 4 non-small cell lung carcinoma presented with new-onset headache. Thoracic computed tomography (CT) demonstrated neoplastic occlusion of the SVC by mediastinal lymphadenopathy. Subsequent brain CT revealed multiple air pockets within the superior sagittal sinus and left cavernous sinus. The patient was managed conservatively, with complete resolution of symptoms and air emboli on follow-up imaging 10 days later.

Discussion: In the setting of SVC occlusion, elevated central venous pressure can reverse the physiological pressure gradient. Consequently, air introduced during routine upper extremity peripheral cannulation may migrate cephalad through the valveless internal jugular veins into the cerebral venous system, rather than flowing antegrade to the right heart.

Conclusion: Clinicians must be aware of these abnormal hemodynamics and should consider using lower extremity intravenous access in this population to mitigate the risk of retrograde embolization.