Neurology
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Susanne Muehlschlegel, MD, Richard P. Goddeau, Jr, DO and John R. Sims, Jr, MD

From the Department of Neurology (S.M., J.R.S.), Division of Neurocritical Care and Stroke, and Department of Radiology (J.R.S.), Massachusetts General Hospital, Harvard Medical School, Boston; and Department of Neurology (R.P.G.), University of Massachusetts Medical School, Worcester.


Figure 121
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  		Figure ECGs and head CT/CTA

Preoperative ECG shows diffuse T-wave inversions (QTc 459 msec) (A). Noncontrast head CT shows a right peri-insular hyperdensity (B, arrow); CTA shows one right middle cerebral artery aneurysm compressing the insula (arrow) and two other aneurysms (arrowheads) (C). Postoperative ECG shows reversal of T-waves in precordial leads (QTc 408 msec) (D).

 




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