Cerebral aneurysms.
Concurrent improvements in neurosurgical treatment and neuroradiologic evaluation of intracranial aneurysms have altered the approach to this condition. Meticulous panangiography remains the procedure of choice in the patient presenting with SAH to rule out aneurysmal rupture. MR imaging can play a role in the evaluation of intraluminal thrombus and is the examination of choice in the evaluation of patients presenting with focal neurologic deficits, such as oculomotor palsy suspected of being due to mass effect related to an aneurysm. Currently, MR angiography is not sufficiently accurate to play a role in the evaluation of the patient with SAH but may be useful as a screening test. It is likely that, with expected technical innovations, MR imaging and MR angiography will play an increasingly important role in the imaging evaluation of intracranial aneurysms.
Division of Neuroradiology, Barrow Neurological Institute, Phoenix, Arixona.
J E
JE
Heiserman
C R
CR
Bird
D000328:Adult; D000368:Aged; D002533:Cerebral Angiography; D002561:Cerebrovascular Disorders / Q000175:diagnosis / Q000000981:diagnostic imaging; D002648:Child; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis* / Q000000981:diagnostic imaging; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D014057:Tomography, X-Ray Computed