Skip to main content

Radiology

  • Chapter
  • 131 Accesses

Abstract

The investigation of intracranial aneurysms is a dynamic and exciting area in neuroradiology. It requires a close working relationship and frequent consultation between the neurosurgeon and neuroradiologist, for many critical decisions must be made during the diagnostic evaluation. Many patients having intracranial aneurysms present with subarachnoid hemorrhage and arrive at the hospital with varying levels of consciousness and other neurologic deficits. After documenting a subarachnoid hemorrhage with computed tomography (CT) and/or lumbar puncture, appropriate timing of the arteriogram must be considered. During the arteriogram many decisions must be made. When does one proceed in the presence of arterial spasm? Is the aneurysm adequately imaged for surgical clipping? What additional views are necessary? Complete information about the aneurysm and adjacent vessels reduces the surgical risk.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliography

  1. Agee OF: The paraorbital oblique projection for the demonstration of posterior communicating area aneurysms. Radiology 90: 797–799, 1968

    PubMed  CAS  Google Scholar 

  2. Allcock JM: Aneurysms. In Newton TH, Potts DG (eds.): Radiology of the Skull and Brain, Vol 2, Book 4. St. Louis, Mosby, 1974, pp. 2435–2489

    Google Scholar 

  3. Bingham WG, Hayes GJ: Persistent carotid-basilar anastamosis; report of two cases. J Neurosurg 18: 398–400, 1961

    Article  Google Scholar 

  4. Burton C, Velasco F, Dorman J: Traumatic aneurysm of a peripheral cerebral artery, review and case report. J Neurosurg 28: 468–474, 1968

    Article  PubMed  CAS  Google Scholar 

  5. Byrd SE, Bentson JR, Winter J, et al.: Giant intracranial aneurysms simulating brain neoplasms on computed tomography. J Comput Assist Tomogr 2: 303–307, 1978

    Article  PubMed  CAS  Google Scholar 

  6. Chambers EF, Rosenbaum AE, Norman D, et al.: Traumatic aneurysms of cavernous internal carotid artery with secondary epistaxis. AJNR 2: 405–409, 1981

    PubMed  CAS  Google Scholar 

  7. Cressman MR, Hayes GJ: Traumatic aneurysm of the anterior choroidal artery, case report. J Neurosurg 24: 102–104, 1966

    Article  PubMed  CAS  Google Scholar 

  8. Daniels DL, Williams AL, Thorton RS, et al.: Differential diagnosis of intrasellar tumors by computed tomography. Radiology 141: 697–701, 1981

    PubMed  CAS  Google Scholar 

  9. Drake CG, Amacher AL: Aneurysms of the posterior cerebral artery. J Neurosurg 30: 468–474, 1969

    Article  PubMed  CAS  Google Scholar 

  10. Drake CG, Vanderlinden RG, Amacher AL: Carotid-ophthalmic aneurysms. J Neurosurg 29: 24–31, 1968

    Article  PubMed  CAS  Google Scholar 

  11. du Boulay GH, Jackson DC: Cranial angiotomography. Clin Radiol 16: 148–153, 1965

    Article  Google Scholar 

  12. Endo S, Takahu A, Aihara H, et al.: Traumatic cerebral aneurysm associated with widening skull fracture. Report of two infancy cases. Child s Brain 6: 131–139, 1980

    PubMed  CAS  Google Scholar 

  13. Epstein F, Ransohoff J, Budzilovich GN: The clinical significance of junctional dilatation of the posterior communicating artery. J Neurosurg 33: 529–531, 1970

    Article  PubMed  CAS  Google Scholar 

  14. Frazee JG, Cahan LD, Winter J: Bacterial intracranial aneurysms. J Neurosurg 53: 633–641, 1980

    Article  PubMed  CAS  Google Scholar 

  15. Glickman MG, Gletne JS, Mainzer F: Basal projection in cerebral angiography. Radiology 98: 611–618, 1971

    PubMed  CAS  Google Scholar 

  16. Goldstein SL: Ventricular opacification secondary to rupture of intracranial aneurysm during angiography. J Neurosurg 27: 265–267, 1967

    Article  PubMed  CAS  Google Scholar 

  17. Gould PL, Peyton WT, French LA: Vertebral angiography by retrograde injection of the brachial artery. J Neurosurg 12: 369–374, 1955

    Article  PubMed  CAS  Google Scholar 

  18. Gross SW: Cerebral arteriography with Diodrast 50%. Radiology 37: 487–488, 1941

    Google Scholar 

  19. Hassler O, Saltzman GF: Histological changes in infundibular widening of the posterior communicating artery. Acta Pathol Microbiol Scand 46: 305–312, 1959

    Article  PubMed  CAS  Google Scholar 

  20. Hilal SK: Hemodynamic responses in the cerebral vessels to angiography contrast media. Acta Radiol 5: 211–231, 1966

    CAS  Google Scholar 

  21. Hounsfield GH: Computerized transverse axial scanning (tomography). Part 1. Description of system. Br J Radiol 46: 1016–1022, 1973

    Article  PubMed  CAS  Google Scholar 

  22. Lavyne MH, Kleefield J, Davis KR, et al.: Giant intracranial aneurysms of the anterior circulation: Clinical characteristics and diagnosis by computed tomography. Neurosurgery 3: 356–363, 1978

    Article  PubMed  CAS  Google Scholar 

  23. Lin JP, Kricheff II: Angiographic investigation of cerebral aneurysms. Radiology 105: 69–76, 1972

    PubMed  CAS  Google Scholar 

  24. Marc JA, Schecter MM, Azar-Kia B: Intraventricular bleeding from cerebral aneurysmal rupture. Neuroradiology 5: 184–186, 1973

    Article  PubMed  CAS  Google Scholar 

  25. Moniz E: L’encephalographie arterielle, son importance dans la localisation des tumeurs cerebrales. Rev Neurol 3: 72–90, 1927

    Google Scholar 

  26. Morantz RA, Kirchner FR, Kishore P: Aneurysms of the petrous portion of the internal carotid artery. Surg Neurol 6: 313–318, 1976

    PubMed  CAS  Google Scholar 

  27. New PFJ, Price DL, Carter B: Cerebral angiography in cardiac myxoma, correlation of angiographic and histopathological findings. Radiology 96: 335–345, 1970

    PubMed  CAS  Google Scholar 

  28. Odman P: Percutaneous selective angiography of the main branches of the aorta (preliminary report). Acta Radiol 45: 1–14, 1956

    PubMed  CAS  Google Scholar 

  29. Overton MC, Calvin TH: Iatrogenic cerebral cortical aneurysms, case report. J Neurosurg 24: 672–675, 1966

    Article  PubMed  Google Scholar 

  30. Palubinskas AJ, Perloff D, Newton TH: Fibromuscular hyperplasia; an arterial dysplasia of increasing clinical importance. AJR 98: 907–913, 1966

    CAS  Google Scholar 

  31. Parkinson D, West M: Traumatic intracranial aneurysms. J Neurosurg 52: 11–20, 1980

    Article  PubMed  CAS  Google Scholar 

  32. Perret G, Nishioka H: Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section IV. Cerebral angiography, an analysis of the diagnostic value and complications of carotid and vertebral angiography in 5,484 patients. J Neurosurg 25: 98–114, 1966

    Article  PubMed  CAS  Google Scholar 

  33. Perret G, Nishioka H: Report on the cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Section VI. Arteriovenous malformations. J Neurosurg 25: 467–490, 1966

    Article  PubMed  CAS  Google Scholar 

  34. Perrin DP, Aubin ML, Vignaud J: CT findings in giant intracranial aneurysms. J Neuroradiol 6: 317–326, 1979

    PubMed  CAS  Google Scholar 

  35. Peterson NT, Duchesneau PM, Westbrook EL, et al.: Basilar artery ectasia demonstrated by computed tomography. Radiology 122: 713–715, 1977

    PubMed  CAS  Google Scholar 

  36. Pinto RS, Kricheff II, Butler AR, et al.: Correlation of computed tomographic, angiographic and neuropathological changes in giant cerebral aneurysms. Radiology 132: 85–92, 1979

    PubMed  CAS  Google Scholar 

  37. Pribram HF, Hudson JD, Joynt RJ: Posterior fossa aneurysms presenting as mass lesions. AJR 105: 334–340, 1969

    CAS  Google Scholar 

  38. Roach MR, Drake CG: Ruptured cerebral aneurysms caused by micro-organisms. New Engl J Med 273: 240–244, 1965

    Article  Google Scholar 

  39. Rosa M: Value of angio-tomography in planning operative treatment of internal carotid artery aneurysms. Neuroradiology 3: 82–91, 1971

    Article  PubMed  CAS  Google Scholar 

  40. Rumbaugh CL, Bergeron RT, Talalla A, et al.: Traumatic aneurysms of the cortical cerebral arteries—radiographic aspects. Radiology 96: 49–54, 1970

    PubMed  CAS  Google Scholar 

  41. Schubiger O, Valavanis X, Hayek J: Computed tomography in cerebral aneurysms with special emphasis on giant intracranial aneurysms. J Comput Assist Tomogr 4: 24–32, 1980

    Article  PubMed  CAS  Google Scholar 

  42. Seldinger SI: Catheter replacement of the needle in percutaneous arteriography. Acta Radiol 39: 368–376, 1953

    Article  PubMed  CAS  Google Scholar 

  43. Suwanwela C, Suwanwela N, Charuchinda S, et al.: Intracranial mycotic aneurysms of extra vascular origin. J Neurosurg 36: 552–559, 1972

    Article  PubMed  CAS  Google Scholar 

  44. Takahashi M: Magnification angiography of cerebral aneurysms associated with moyamoya disease. AJNR 1: 547–550, 1980

    Google Scholar 

  45. Takahashi M, Ozawa Y: Routine biplane cerebral angiography with stereoscopic magnification. Radiology 136: 113–117, 1980

    PubMed  CAS  Google Scholar 

  46. Takaro T, Scott SM: Angiography using direct roentgenographic magnification in man. AJR 91: 448–452, 1964

    CAS  Google Scholar 

  47. Taveras JM, Wood EH: Diagnostic Neuroradiology, 2nd ed. Baltimore, Williams and Wilkins, 1976, pp. 911–952

    Google Scholar 

  48. Teal JS, Wade PJ, Bergeron RT, et al.: Ventricular opacification during carotid angiography secondary to rupture of intracranial aneurysm. Radiology 106: 581–583, 1973

    PubMed  CAS  Google Scholar 

  49. Terao H, Muraoki I: Giant aneurysm of the middle cerebral artery containing an important blood channel. Case report. J Neurosurg 37: 352–356, 1972

    Article  PubMed  CAS  Google Scholar 

  50. Udvarhelyi GB, Lai M: Subarachnoid hemorrhage due to rupture of an aneurysm on a persistent left hypoglossal artery. Br J Radiol 36: 843–847, 1963

    Article  PubMed  CAS  Google Scholar 

  51. Vines FS, Davis DO: Rupture of intracranial aneurysm at angiography. Radiology 99: 353–354, 1971

    PubMed  CAS  Google Scholar 

  52. Waga S, Matsuda M, Handa H: Bilateral giant aneurysms of the internal carotid artery. AJR 116: 23–29, 1972

    CAS  Google Scholar 

  53. Ziedses des Plantes BG: Application of the roentgenographic subtraction method in neuroradiology. Acta Radiol (Diagn) 1: 926–966, 1963

    Google Scholar 

Download references

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1983 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Hesselink, J.R. (1983). Radiology. In: Intracranial Aneurysms. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5437-9_17

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-5437-9_17

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-5439-3

  • Online ISBN: 978-1-4612-5437-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics