AJDRAJNR - American Journal of Neuroradiology

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Blanc, R.
Right arrow Articles by Moret, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Blanc, R.
Right arrow Articles by Moret, J.

Delayed Stroke Secondary to Increasing Mass Effect after Endovascular Treatment of a Giant Aneurysm by Parent Vessel Occlusion

Raphaël Blanca, Alain Weilla, Michel Piotina, Ian B. Rossa and Jacques Moreta

a From the Service de Neuroradiologie Interventionnelle, Hôpital de la Fondation Rothschild, Paris, France.



View larger version (79K):

[in a new window]
  		FIG 1. MR image and angiogram obtained prior to treatment.

A, Coronal T1-weighted MR image after gadolinium chelate infusion shows the giant left supraclinoid aneurysm shifting the left MCA (arrowheads).

B, Left ICA angiogram (frontal projection) depicts the left giant nonthrombosed supraclinoid aneurysm stretching the left MCA (arrowheads).



View larger version (56K):

[in a new window]
  		FIG 2.

Right carotid angiogram (frontal projection), obtained immediately after left ICA occlusion, shows the absence of retrograde filling of the aneurysm and good cross flow via the ACoA.

FIG 3. Right carotid angiogram (frontal projection, late arterial phase), obtained 8 d after left ICA occlusion, shows that the stretching and shifting of the left MCA had increased (arrowheads).

FIG 4. Plain CT scan obtained 20 d after endovascular treatment shows a left MCA territory infarct.





Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X