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AJNR - American Journal of Neuroradiology

Publication Preview: Published October 9, 2007

American Journal of Neuroradiology 2008;29:125.

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American Journal of Neuroradiology
DOI 10.3174/ajnr.A0734

BRAIN

Usefulness of MR Imaging for the Assessment of Nonophthalmic Paraclinoid Aneurysms

L. Thines, J.-Y. Gauvrit, X. Leclerc, D. Le Gars, C. Delmaire, J.-P. Pruvo and J.-P. Lejeune

From the Departments of Neurosurgery (L.T., J.-P.L.) and Neuroradiology (J.-Y.G., X.L., C.D., J.-P.P.), Centre Hospitalier Régional et Universitaire, Lille, France; Departments of Neurosurgery and Anatomy (D.L.G.), Centre Hospitalier Régional et Universitaire, Amiens, France.

Please address correspondence to Dr. Laurent Thines, Clinique Neurochirurgicale, Hôpital Roger-Salengro, CHRU, 59037 Lille Cedex, France; e-mail: laurent.thines{at}wanadoo.fr

BACKGROUND AND PURPOSE: The neuroradiologic location of asymptomatic paraclinoid aneurysms is decisive for patient management. In a preliminary study, we designed a paraclinoid MR protocol (PMP) including high-resolution T2-weighted images in 2 orthogonal planes to define the inferior limit of the distal dural ring plane that represents the borderline between the intradural and extradural internal carotid artery. In this clinical study, we compared this protocol with digital subtraction angiography (DSA) for the location of paraclinoid aneurysms.

MATERIALS AND METHODS: During a 3-year period, we performed PMP and conventional angiograms in 14 consecutive patients with 17 asymptomatic paraclinoid aneurysms. Ophthalmic (superior) aneurysms were excluded. Two independent observers reviewed MR imaging data, and a third experienced neuroradiologist analyzed the conventional angiograms. MR imaging and conventional angiograms were independently analyzed, and interpretations obtained with each technique were compared.

RESULTS: PMP allowed correct visualization of the aneurysms in all patients. No significant differences (P >.05) were found between the DSA and PMP for the measurement of the aneurysmal neck or sac. Interobserver agreement was good. MR imaging was discordant with conventional angiography regarding the position around the cavernous sinus of the aneurysmal neck and sac in 5 cases. PMP images were helpful for treatment decisions in 4 cases.

CONCLUSION: PMP is an interesting tool that might be used in association with conventional angiography for the assessment of paraclinoid aneurysms.

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				M. Ribeiro, P. Howard, R. Willinsky, K. ter Brugge, R. Agid, L. Thines, and L. da Costa Intrasellar Rupture of a Paraclinoid Aneurysm with Subarachnoid Hemorrhage: Usefulness of MR Imaging in Diagnosis AJNR Am. J. Neuroradiol., May 1, 2008; 29(5): 980 - 982. [Abstract] [Full Text] [PDF]