Author:
Gean Alisa D.,Pile-Spellman John,Heros Roberto C.
Abstract
✓ The advent of magnetic resonance (MR) imaging has marked a new era in neuroimaging — particularly in terms of diminishing the need for more invasive diagnostic procedures. A cautionary note should be sounded, however, about an important limitation of standard spin-echo MR studies. Two patients were referred for angiography because MR imaging indicated the presence of a “paraclinoid aneurysm.” In retrospect, these findings were due instead to a pneumatized anterior clinoid. Angiography could have been avoided had this pitfall been recognized, and had a gradient-echo flow-imaging protocol been utilized. This latter approach (which does not replace spin-echo imaging) is more sensitive to flowing blood and thus allows differentiation of an air space from a nonthrombosed aneurysm.
Publisher
Journal of Neurosurgery Publishing Group (JNSPG)
Cited by
21 articles.
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