A patient with spontaneous intracranial hypotension due to a spinal cerebrospinal fluid (CSF) leak required localization of the leakage site prior to surgical management. Conventional, computed tomography and prone digital subtraction myelography failed to localize the dural tear, which was postulated to be dorsally located. We present here a digital subtraction myelographic approach to accurat...

Intracranial aneurysm in twins is a rare clinical disease entity. Only 15 cases have been described in the literature. We report on a pair of identical twins with intracranial aneurysms. One presented with subarachnoid haemorrhage; digital subtraction angiography showed a left posterior communicating artery aneurysm, which was treated by coiling. The patient's twin sister was called for screeni...

We simultaneously injected both internal carotid arteries (ICAs) during 3D rotational digital subtraction angiography in a patient with a ruptured anterior communicating artery (Acom) aneurysm and vasospasm. Shaded surface display (SSD) images from this acquisition provided more anatomic detail than did SSD images created from individual ICA 3D rotational digital subtraction angriography. In th...

The criterion standard for the detection of intracranial aneurysms is digital subtraction angiography. MR imaging and CT provide good accuracy in the evaluation of brain arteries and aneurysms. We herein report a case of a ruptured aneurysm at a basilar artery fenestration. The diagnosis was assessed with 16-row multisection CT angiography and was confirmed by using digital subtraction angiogra...

INTRODUCTION Patients with negative initial digital subtraction angiography (DSA) are at significant risk for re-bleeding, which can lead to severe disability and death. The purpose of this study was to evaluate the necessity of repeat DSA in subgroups of patients with subarachnoid hemorrhage (SAH) with negative initial DSA. METHODS A total of 904 spontaneous SAH patients were admitted to our...

Left ventricular ejection fraction (LVEF) was calculated from 25 first-pass digital subtraction angiograms using a densitometric analysis. Digital subtraction angiograms are obtained in a computerized format; therefore, they can be readily analyzed with computer software to measure the density of the iodine signal within the image. The video signals from the image intensifier were logarithmical...

Fifty one patients with suspected pulmonary embolus were studied by radionuclide ventilation-perfusion scanning and intravenous digital subtraction pulmonary angiography. In 31 patients the results of both investigations were reported as negative and in a further 11 both results were reported as positive, giving a concordance rate of 82.3%. In nine patients there was disagreement between the tw...