The utility of angiographic CT in the diagnosis and treatment of neurovascular pathologies in the vicinity of cranial base.
This study aims to explore the utility of angiographic computed tomography (CT) in the diagnosis and treatment of neurovascular pathologies in the vicinity of cranial base. Two cases of cranial base dural arteriovenous fistula, one internal carotid pseudoaneurysm and one PICA aneurysm were demonstrated utilizing the angiographic CT for obtaining significant image details on the relative location of the diseases against the neighboring bony structure. An angiography suite outfitted with conventional DSA and rotational volume cone-beam was used, angiographic CT images being concomitantly produced together with the routine angiographic modalities. By virtue of the angiographic CT images integrating the selective angiography and reconstructed cranial base tomography, we succeeded in getting significant information on the relative location of various vascular diseases to the skull base, greatly facilitating the diagnosis and treatment procedures.
Department of Neurosurgery, Wuhan General Hospital, Guangzhou Military Command, PLA, Wu Luo Lu 627#, 430070, Wuhan, China. mdlijun@yahoo.com.cn
Jun
J
Li
Feng
F
Wan
Gang
G
Chen
Lianting
L
Ma
Ge
G
Zhang
Guozheng
G
Xu
Jie
J
Gong
D000328:Adult; D000368:Aged; D001932:Brain Neoplasms / Q000150:complications / Q000000981:diagnostic imaging; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography / Q000379:methods*; D002561:Cerebrovascular Disorders / Q000000981:diagnostic imaging*; D003388:Cranial Fossa, Posterior / Q000000981:diagnostic imaging / Q000601:surgery; D057510:Endovascular Procedures; D005260:Female; D006261:Headache / Q000209:etiology; D006391:Hemangioma / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D007091:Image Processing, Computer-Assisted; D002538:Intracranial Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000601:surgery; D020300:Intracranial Hemorrhages / Q000150:complications / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D019635:Neurosurgical Procedures; D019291:Skull Base / Q000000981:diagnostic imaging*; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery; D014012:Tinnitus / Q000209:etiology; D014057:Tomography, X-Ray Computed