No abstract available.
Cerebral Angiography*

No abstract available.
Atherosclerosis ; Cerebral Angiography ; Infarction, Middle Cerebral Artery

A fenestration of the supraclinoid internal carotid artery (ICA) is a rare congenital condition. We report an aneurysm arising from the proximal end of an ICA fenestration that was treated by endovascular coiling. Three-dimensional rotational angiography of preoperative cerebral angiography provided an understanding of the complex anatomy of the aneurysms associated with the fenestration and may facilitate the clinical decision regarding the treatment option. Endovascular coiling appears to be safe and effective for treating an aneurysm originating from a fenestration on the supraclinoid ICA, which is a difficult lesion to treat using a conventional surgical approach.
Aneurysm ; Angiography ; Carotid Artery, Internal ; Cerebral Angiography

The azygous anterior cerebral artery (ACA) is a rare type of ACA anomaly. In the conventional angiography, cognition of its realm is difficult without considerable reading. Clinically, misreading its nature causes confusion during the surgical approach to its associated cerebral aneurysm. We report this rare clinical experience with an angiographic and surgical review.
Aneurysm ; Angiography ; Anterior Cerebral Artery ; Cerebral Angiography ; Cognition ; Intracranial Aneurysm

No abstract available.
Absorption* ; Cerebral Angiography ; Embolism, Air

Rare middle cerebral artery (MCA) fenestration and unruptured aneurysms of the both MCA bifurcations was discovered by CT angiography and confirmed during surgery. An aneurysm arising from the left MCA bifurcation was clipped. The postoperative course was excellent. The authors discuss the pathogenesis and clinical meanings of the MCA fenestration.
Aneurysm* ; Angiography ; Middle Cerebral Artery*

Radionuclide cerebral angiography is a indirect method of measuring cerebral blood flow in ischmic cerebrovascular disease, but conventional radionuclide cerebral angiogra phy has been interpretated by simple inspection without quantification. We designed this study to obtain the quantitative data via computerized time-activity analysis of the radionuclide cerebral angiography in region of interest. In 30 persons without evidence of cerebrovascular disease right/left ratios were 0.993+0.252(mean+ 2SD) in antenor cerebral artery territories of the cerebral hemisphere and 0.947 0.186(mean+2SD) in middle cerebral artery territories. Thirteen patients of 33 patients(39.4%) with ischemic cerebrovascular disease had right / left ratios that were beyond 2 standard deviation of the normal mean. We suggest this study is valuable in patients suspected Gf cerebrovascular disease while this method will require extensive study.
Cerebral Angiography* ; Cerebral Arteries ; Cerebrum ; Humans ; Middle Cerebral Artery

We report the imaging features of four cases with calcified intracranial aneurysm. All four patients underwentCT, CT angiography, MR, magnetic resonance angiography, and angiography. Calcification of the aneurysm wall was clearly demonstrated with CT and CTA in all cases and with conventional angiography in one case. The shape of calcification was curvilinear in two cases and punctate in two. On MR, two curvilinear calcifications were demonstrated as peripheral rim of signal void but two punctate calcifications were not shown.
Aneurysm* ; Angiography ; Cerebral Angiography ; Humans ; Intracranial Aneurysm ; Magnetic Resonance Angiography

PURPOSE: The purpose of this study was to assess the relative diagnostic capability of magnetic resonance angiography(MRA) and CT angiography(CTA) in the evaluation of intracranial aneurysm. MATERIALS AND METHODS: MRA and CTA were performed in 14 intracranial aneurysms (Including four which were ruptured) confirmed in the II patients involved by conventional angiography(CA). The size(in largest dimension) of the aneurysms ranged between 3 mm and 20 mm and the mean was 10.5 mm. For MRA, the 3D TOF method, with magnetization transfer suppression, wasused at 1.5T. For CTA, twenty seconds after beginning the injection of contrast media(100mL with use of a power injector at the rate of 3 mL/sec), CT scanning(30-second exposure and 60-mm length) was performed with a table speed of 2 mm/sec and a section thickness of 2mm. The resulting data were reformatted by MIP. MRA and CTA were compared with regard to the detection of aneurysms and their neck, size, shape, direction, intensity and relationship to adjacent bony structures or vessels. RESULTS: All aneurysms were clearly visualized with CTA. Inone case with a 3-mm aneurysm, however, this was not defined on MRA. Of the 13 aneurysms demonstrated by both MRA and CTA, eight were seen equally well with both modalities. CTA was considered to be superior to MRA in fivecases, either because calcification in the aneurysm wall was seen only on CTA(n = 3) or because the relationship with adjacent bony structures were seen better with CTA(n = 2). With CTA, the intensities of the aneurysm were homogeneous in all cases ; with MRA, however, the intensities of three large aneurysms were different. CONCLUSION: MRA and CTA may be useful in the evaluation of intracranial aneurysm, CTA has specific advantages over MRA inthe evaluation of large aneurysms, calcification of aneurysm wall and relationship with adjacent bony structure.
Aneurysm ; Angiography* ; Cerebral Angiography ; Intracranial Aneurysm* ; Magnetic Resonance Angiography* ; Neck

OBJECTIVE: Middle cerebral artery(MCA) anomalies are found incidentally on conventional cerebral angiography and magnetic resonance angiography(MRA). Our goal is to examine the incidence and types of MCA anomalies. METHODS: Cerebral angiography was performed in 448 patients and MRA in 743; the patients had or were suspected to have cerebrovascular disease. The images were retrospectively evaluated for arterial anatomic anomalies. We use Teal's classification for definition of accessory and duplicated MCAs. RESULTS: On cerebral angiography, the following anomalies of the MCA were found in seven patients: fenestration(n=2, incidence=0.45%); duplication (n=2, incidence=0.45%); accessory MCA(n=2, incidence=0.45%); aplasia(n=1, incidence=0.22%). On MRA, eight patients had anomalous MCAs: fenestration(n=1, incidence=0.14%); duplication(n=6, incidence=0.81%); accessory(n=1, incidence=0.14%). CONCLUSION: Although the clinical significance is not great, we find a relatively high incidence of anomalous MCAs. Knowledge and recognition of these MCA anomalies are useful and important in the interpretation of cerebral images and during neurosurgical procedures.
Angiography* ; Cerebral Angiography ; Classification ; Humans ; Incidence ; Magnetic Resonance Angiography* ; Middle Cerebral Artery* ; Neurosurgical Procedures ; Retrospective Studies