AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on November 1, 2007
doi: 10.3174/ajnr.A0756

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Differentiation Between Paraclinoid and Cavernous Sinus Aneurysms with Contrast-Enhanced 3D Constructive Interference in Steady- State MR Imaging

T. Hiraia, Y. Kaib, M. Moriokab, S. Yanob, M. Kitajimaa, H. Fukuokaa, A. Sasaoa, R. Murakamic, Y. Nakayamaa, K. Awaia, R. Toyac, M. Aktera, Y. Korogid, J. Kuratsub and Y. Yamashitaa

a Department of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
b Department of Neurosurgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
c Department of Radiation Oncology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan
d Department of Radiology, University of Occupational and Environmental Health, School of Medicine, Kitakyushu, Japan


Figure 1
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Fig 1. A 50-year-old woman with a right internal carotid aneurysm. A and B, Maximum intensity projection (A) and source (B) images of MRA showing a right internal carotid aneurysm (arrow). The distinction between intradural and extradural aneurysms is not clear. C and D, Coronal multiplanar reconstruction CE 3D-CISS images revealing that the aneurysm (large arrow) is extradural, located in the cavernous sinus. This observation was confirmed by surgery. The small arrow indicates the boundary between the cavernous sinus and the CSF.


Figure 2
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Fig 2. A 59-year-old woman with multiple aneurysms of the left ICA. Coronal multiplanar reconstruction images (AC) of MRA show 2 left internal carotid aneurysms (arrow, asterisk). On CE 3D-CISS images (DF), 1 aneurysm (asterisk) is assessed as extradural and the other (arrow), as partially intradural. Operative findings disclosed that they were extradural and intradural aneurysms, respectively.