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AJNR - American Journal of Neuroradiology

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Extravasation from Rupturing Aneurysm Demonstrated by 3D Digital Subtraction Angiography

Hiroshi Manabe^a, Atsuhito Takemura^a, Seiko Hasegawa^a, Morio Nagahata^b and Yoshiki Iko^a

^a Department of Neurosurgery, Kuroishi City Hospital, Kuroishi Aomori, Japan
^b Department of Radiology, Kuroishi City Hospital, Kuroishi Aomori, Japan

View larger version (155K): [in a new window]   FIG 1. Lateral view of the left internal carotid angiogram taken immediately before the rerupture shows a small daughter aneurysm on its anterior wall (arrow).

View larger version (108K): [in a new window]   FIG 2. 3D-DSA image of the left internal carotid angiography during the rerupture of the aneurysm clearly demonstrates a jet of blood flow (small arrows) coming from the daughter aneurysm (large arrow).

View larger version (107K): [in a new window]   FIG 3. 3D-DSA image of waters view reveals that the daughter aneurysm (small arrow) has connection to the aneurysm dome with very narrow space (large arrow). The asterisk indicates the extravasation.