The goal of this study is to present the outcomes of endovascular treatment performed on a group of patients diagnosed with ruptured aneurysms in the anterior communicating artery. The effectiveness of the treatment will be assessed based on the degree of packing observed in both immediate and subsequent angiography control.

A giant cerebral aneurysm is one that reaches a size greater than 25 mm in diameter, and whose complications are rupture and a mass effect like a tumor. The complex anatomy of the posterior communicating segment and the size of the aneurysm make it challenging to treat surgically, so the best definitive treatment option for this type of pathology is the Endovascular route, which seeks obliteration and exclusion of the aneurysm

Polycystic Kidney Disease (PKD) is a common hereditary kidney disease that can be accompanied by the appearance of intracranial lesions. Among these lesions, cerebral aneurysms are often found in patients with PKD, which can lead to increased morbidity and mortality. These aneurysms can have clinical and surgical implications, making them a serious concern for patients with PKD.

In epilepsy refractory to medical treatment which presents multiple and bilateral epileptogenic foci such as Lennox Gastaut syndrome (LGS) the surgical alternative is disconnection surgery such as callosotomy. Posterior callosotomy is indicated in cases of atonic seizures with posterior resection, leading to better seizure control. We present the case of a patient with Lennox Gastaut syndrome who required a posterior callosotomy achieving complete control of atonic seizures.

Diabetes insipidus is a rare complication in cerebral vascular pathology. Although its presentation is associated with surgery for pituitary tumors, few cases have been reported after the evacuation of cerebral hemorrhages. We present a patient with Diabetes insipidus in a patient with ventriculostomy due to intraventricular hemorrhage.