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Research ArticleBRAIN

CT Angiography for the Detection of Cerebral Vasospasm in Patients with Acute Subarachnoid Hemorrhage

Glenn B. Anderson, Rob Ashforth, David E. Steinke and J. Max Findlay
American Journal of Neuroradiology June 2000, 21 (6) 1011-1015;
Glenn B. Anderson
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Rob Ashforth
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David E. Steinke
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J. Max Findlay
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    fig 1.

    56-year-old woman with SAH.

    A, Preoperative MIP image from a CTA study shows an anterior communicating artery aneurysm (arrow).

    B, Postoperative CTA shows clipping of the aneurysm and narrowing of the anterior cerebral artery (arrows), consistent with vasospasm.

    C, DSA, anteroposterior view, confirms vasospasm involving the A1 segment of the anterior cerebral artery (arrows).

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    fig 2.

    51-year-old woman with SAH.

    A, Preoperative CTA, anteroposterior view, shows a left MCA aneurysm (arrow).

    B, Postoperative CTA shows the clipped aneurysm and narrowing of the first segments of the left ipsilateral anterior (curved arrow) and middle cerebral (straight arrow) arteries.

    C, DSA, anteroposterior view, verifies vasospasm of the left anterior and middle cerebral arteries ipsilateral to the aneurysmal rupture (arrows).

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    fig 3.

    28-year-old man with an aneurysmal SAH.

    A, Preoperative CTA, MIP image, reveals a posterior communicating artery aneurysm (arrow).

    B, Postoperative CTA shows severe basilar artery spasm (open arrow) and carotid artery occlusion (solid arrow).

    C, DSA, lateral view, confirms basilar artery vasospasm (arrow).

    D, DSA, lateral oblique view, verifies supraclinoid ICA occlusion (arrow).

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    TABLE 1:

    Agreement between CTA and DSA by location and degree of spasm

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    TABLE 2:

    Detection of vasospasm by CTA as compared with DSA for all arterial locations

  • TABLE 3:
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    TABLE 3:

    Detection of vasospasm by CTA for proximal arterial locations

  • TABLE 4:
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    TABLE 4:

    Detection of vasospasm by CTA for distal arterial locations

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American Journal of Neuroradiology
Vol. 21, Issue 6
1 Jun 2000
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CT Angiography for the Detection of Cerebral Vasospasm in Patients with Acute Subarachnoid Hemorrhage
Glenn B. Anderson, Rob Ashforth, David E. Steinke, J. Max Findlay
American Journal of Neuroradiology Jun 2000, 21 (6) 1011-1015;

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CT Angiography for the Detection of Cerebral Vasospasm in Patients with Acute Subarachnoid Hemorrhage
Glenn B. Anderson, Rob Ashforth, David E. Steinke, J. Max Findlay
American Journal of Neuroradiology Jun 2000, 21 (6) 1011-1015;
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Cited By...

  • Reliability of CT Angiography in Cerebral Vasospasm: A Systematic Review of the Literature and an Inter- and Intraobserver Study
  • Delayed Cerebral Ischemia in Aneurysmal Subarachnoid Hemorrhage: Proposal of an Evidence-Based Combined Clinical and Imaging Reference Standard
  • Diagnostic Accuracy of CT Angiography and CT Perfusion for Cerebral Vasospasm: A Meta-Analysis
  • Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage: A Statement for Healthcare Professionals From a Special Writing Group of the Stroke Council, American Heart Association
  • Current theory in imaging of intracranial vascular disease
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