Female pt complaint of headache throbbing type With peripheral upper limb numbness and pain MRI brain s/o intracranial aneurysm Now surgical intervention done aneurysm treated. Pt now c/o hand pain numbness MR angiography report attached Need expert opinion (cardiovascular surgeon/vascular surgeon)

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Dr. U N

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The best treatment plan for the patient would involve addressing the thrombosis and stenosis in the subclavian arteries. This can be done through a variety of interventions including: 1. Medication: The patient may benefit from antiplatelet medications such as aspirin or clopidogrel to prevent further clot formation in the subclavian arteries. 2. Interventional procedures: Depending on the severity of the thrombosis and stenosis, interventions such as angioplasty and stenting may be recommended to open up the narrowed or blocked arteries and improve blood flow. 3. Surgical intervention: In more severe cases or if conservative treatment options are not effective, surgical procedures such as bypass surgery may be necessary to restore blood flow to the affected areas.