title: [Our experience in the diagnosis and treatment of cerebral pseudoaneurysms].
abstract: OBJECTIVE
  To present our experience in the diagnosis and intravascular treatment of cerebral pseudoaneurysms.
  
  
  METHODS
  We present 11 pseudoaneurysms (2 traumatic, 2 mycotic, 3 iatrogenic, and 4 with other causes). We analyze the methods and diagnostic criteria, radiological and clinical outcome, the criteria used in making decisions about treatment, the method of treatment, and the complications.
  
  
  RESULTS
  Digital subtraction angiography is the gold standard for the diagnosis of cerebral pseudoaneurysms; the diagnostic criteria in the literature include: aneurysms with early morphological changes and distal aneurysms or proximal aneurysms associated with another distal one, in the context of the right symptoms and signs. In the nine patients treated with endovascular techniques, the treatment objective was achieved and rebleeding did not occur.
  
  
  CONCLUSIONS
  In cases with clinical suspicion of a pseudoaneurysm, the patient should undergo angiography. This is especially important in patients with inexplicable cerebral hemorrhage and in those with septicemia. CT angiography and MR angiography have good diagnostic accuracy and can replace conventional angiography. However, the treatment of choice is endovascular and treatment should not be delayed unless access to the pseudoaneurysm is impeded, usually due to severe cerebral vasospasm.
authors.affiliation: Servicio de Radiología, Hospital Universitario Central de Asturias, Oviedo, España. emuriass@hotmail.com
authors.forename: E
authors.initials: E
authors.lastname: Murias Quintana
authors.forename: A
authors.initials: A
authors.lastname: Gil García
authors.forename: P
authors.initials: P
authors.lastname: Vega Valdés
authors.forename: A
authors.initials: A
authors.lastname: Meilán Martínez
authors.forename: M
authors.initials: M
authors.lastname: Botana Fernández
authors.forename: J C
authors.initials: JC
authors.lastname: Gutierrez Morales
authors.forename: A
authors.initials: A
authors.lastname: López García
mesh_terms: D000328:Adult; D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000628:therapy*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D055815:Young Adult