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Research ArticleBRAIN

Twinkling Artifact on Intracerebral Color Doppler Sonography

Haleem G. Khan, Philippe Gailloud, Jean-Baptiste Martin, Nathalie Khaw, Luca Spadola, Daniel A. Rüfenacht and François Terrier
American Journal of Neuroradiology February 1999, 20 (2) 246-247;
Haleem G. Khan
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Philippe Gailloud
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Jean-Baptiste Martin
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Nathalie Khaw
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Luca Spadola
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Daniel A. Rüfenacht
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François Terrier
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    fig 1.

    Digital subtraction angiogram, superselective study of the right internal carotid artery, arterial phase, lateral projection, displays the MCA bifurcation.

    A, A small saccular aneurysm (arrow) is seen at the right anterior choroidal artery origin. Note also the minute aneurysm at the MCA bifurcation.

    B, On late arterial phase image, a characteristic aneurysmal inflow-outflow pattern (“yin-yang”) may be observed.

  • fig 2.
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    fig 2.

    Digital subtraction angiogram, selective study of the right internal carotid artery, arterial phase, lateral projection. After treatment with a single detachable coil, the aneurysmal cavity is totally excluded from the cerebral circulation (arrows).

    fig 3. Transcranial Doppler sonogram, right transtemporal approach. Before treatment, a color Doppler signal is seen within the aneurysmal cavity (arrow). It also shows the typical “yin- yang” appearance, corresponding to the inflow and outflow regions of the aneurysm.

  • fig 4.
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    fig 4.

    Transcranial Doppler sonogram, right transtemporal approach. After treatment, a twinkling artifact (arrow) is observed immediately behind the hyperechoic signal of the microcoil.

    fig 5. In vitro insonation of a Guglielmi detachable coil enclosed within two hydrated agar sheets. Color Doppler image shows the hyperechoic structure of the coil (arrow) and the twinkling artifact (arrowhead).

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American Journal of Neuroradiology
Vol. 20, Issue 2
1 Feb 1999
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Cite this article
Haleem G. Khan, Philippe Gailloud, Jean-Baptiste Martin, Nathalie Khaw, Luca Spadola, Daniel A. Rüfenacht, François Terrier
Twinkling Artifact on Intracerebral Color Doppler Sonography
American Journal of Neuroradiology Feb 1999, 20 (2) 246-247;

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Twinkling Artifact on Intracerebral Color Doppler Sonography
Haleem G. Khan, Philippe Gailloud, Jean-Baptiste Martin, Nathalie Khaw, Luca Spadola, Daniel A. Rüfenacht, François Terrier
American Journal of Neuroradiology Feb 1999, 20 (2) 246-247;
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