September 2025

NEUROSCIENCES

CME: WHOSE BRAIN ANEURYSM SHOULD BE TREATED AND HOW? A DUAL-TRAINED NEUROSURGEON’S PERSPECTIVE

Watch Time: 37 minutes

Babak S. Jahromi, MD, PhD, is a dual-trained neurosurgeon specializing in endovascular and cerebrovascular surgery. In this video presentation, Dr. Jahromi shares a series of real case studies along with detailed surgical footage that demonstrate both open surgical and endovascular approaches to brain aneurysm management. He provides insights into the decision-making process and the outcomes of these complex cases. 
Physicians may claim CME credit after watching this video.
  • Case scenario 1 (09:42): Dr. Jahromi demonstrates a minimally invasive superorbital craniotomy to address an aneurysm pressing on the optic nerve in a middle-aged female patient.
  • Case scenario 2 (14:47): Dr. Jahromi treats a patient with multiple bilateral middle cerebral artery aneurysms, opting for a comprehensive surgical solution that allows him to address multiple aneurysms on each side through a single surgical exposure.
  • Case scenario 3 (19:52): Dr. Jahromi performs a complex trapping procedure combined with a bypass graft in a younger female patient who presented with a giant partially thrombosed middle cerebral artery aneurysm causing seizures.
  • Case scenario 4 (24:35): A giant superior cerebellar artery aneurysm is surgically debulked to relieve pressure on the brainstem.
  • Case scenario 5 (29:30): Dr. Jahromi combines initial endovascular coiling and subsequent surgical clipping to manage a ruptured posterior inferior cerebellar artery aneurysm.
  • Case scenario 6 (33:15): A young patient presents with a giant partially thrombosed brain aneurysm causing strokes. Dr. Jahromi uses endovascular methods, including telescoping flow-diverting stents, to reconstruct the carotid artery while promoting aneurysm thrombosis through supplementary coil placement.
  • Case Scenario 7 (34:54): A patient with a previously clipped basilar artery aneurysm returns with a recurrence after two decades. Dr. Jahromi employs Y-stenting to provide robust packing for the new aneurysm growth while preserving the posterior cerebral arteries.

Target Audience
  • Neurologists
  • Neurosurgeons
  • Internal medicine physicians
  • Primary care physicians

Learning Objectives
At the conclusion of this activity, participants will be able to:
  1. Discuss the latest clinical advances and complex cases in the various Northwestern Memorial Hospital departments.
  2. Identify the latest research interest and initiatives of Northwestern Memorial Hospital physicians.
  3. Disseminate evidence-based patient care into practice.
Accreditation
The Northwestern University Feinberg School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement
The Northwestern University Feinberg School of Medicine designates this enduring activity for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Credits
AMA PRA Category 1 Credits™ (0.50 hours), Non-Physician Attendance (0.50 hours)

Disclosure Information
Babak Jahromi, MD, is a PI for IRRAS.
Babak S. Jahromi, MD, PhD, vice chair of Regional Neurosurgery, and professor of Neurological Surgery, Neurology, and Radiology at Northwestern Medicine.

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