FIG 1. Case 1.

A, MR angiogram reveals an aneurysm (arrow) involving the right ICA.

B–D, Angiograms show a right direct CCF with high-flow shunt (B), which clinically was symptomatic. The aneurysm is first opacified in the early phase (C). Obliteration of the shunt is achieved (D).

E, Angiogram obtained 2 years later reveals partial recurrence of the aneurysm