BACKGROUND AND PURPOSE 3D time-of-flight MR angiography (3D TOF MRA) may be used as noninvasive alternative to digital subtraction angiography (DSA) for the follow-up of patients with intracranial aneurysms treated with Guglielmi detachable coils (GDCs). We aimed to determine the influence of aneurysm size and location on diagnostic accuracy of 3D TOF MRA for follow-up of intracranial aneurysms...

BACKGROUND Rupture of the intracranial aneurysms is associated with a high risk of bleeding and a high incidence of mortality if left untreated. OBJECTIVES The aim of this study is to report our experience in managing intracranial aneurysms using coil embolization and to report the 6-month follow-up outcome of the patients. PATIENTS AND METHODS From January 2010 to December 2012, a series o...

Ruptured Intracranial Aneurysms: Treatment Options and Data from Recent Trials. Several therapeutic options are available for the treatment of ruptured intracranial aneurysms. Generally speaking, these procedures can be reconstructive (ie, selective aneurysm occlusion) or deconstructive (ie, parent artery occlusion in conjunction with aneurysm occlusion) in nature. In view of the higher ischemi...

The decision of what to do with asymptomatic unruptured intracranial aneurysms is a fairly new problem. Although these aneurysms have been known to exist for centuries through autopsies and for several decades through catheter angiography, their true prevalence did not begin to emerge until the use of non-invasive angiograms became widespread in the recent past. Now we know that nearly 3% of th...

BACKGROUND AND PURPOSE Currently available stents for intracranial use usually are balloon-expandable coronary stents that carry the risk of damaging a dysplastic segment of the artery, with potential vessel rupture. We assessed the technical feasibility and efficacy of the combined application of a flexible, self-expanding neurovascular stent and detachable coils in the management of wide-neck...

Two cases of angiographically and surgically documented de novo intracranial aneurysm formation are reported. The first patient, a 32-year-old woman, developed two new aneurysms within a 6-month period, and the second patient, a 27-year-old woman, developed two new aneurysms within a 22-month period. In both patients, the new aneurysms were symptomatic, causing stroke and subarachnoid hemorrhag...

METHODS Three patients with Borrelia burgdorferi infection and intracranial aneurysms are described. RESULTS All three patients had neurological symptoms. Perivascular and vasculitic lymphocytic inflammation were detected in the brain biopsy specimen of one patient. The aneurysm was located in the internal carotid arteries in two patients and in the basilar artery in one patient. The aneurysm...

Rupture of an intracranial aneurysm is a serious neuro-vascular event requiring immediate management to avoid devastating neurological sequelae. Despite the rapid evolution of endovascular techniques, clipping is still a necessary tool in aneurysms with non-optimal dometo-neck ratio and in younger patients. Occasionally, optimal positioning of an aneurysm clip with optimal obliteration of the a...

Arteriovenous malformations (AVMs) associated with aneurysm have rarely been reported in the literature. The present study reports the case of a 21-year-old pregnant female patient who presented with a subarachnoid hemorrhage and an intracranial hematoma located in the anterior end of the corpus callosum. Furthermore, an anterior cerebral aneurysm and an AVM were identified by digital subtracti...

It is accepted by many that vasospasm occurring as a result of ruptured intracranial aneurysm may contribute to the death of the patient. In the present case, although widespread spasm in the intracranial circulation was demonstrated, no aneurysm could be found either in life or at necropsy. The cause of the spasm is not known but its effects on the brain were undoubtedly responsible for death....