Document Detail


Mechanisms of perianeurysmal edema following endovascular embolization of aneurysms.
MedLine Citation:
PMID:  20566093     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Summary: After coil embolization for an aneurysm, edema surrounding the aneurysm revealed by magnetic resonance imaging (MRI) is rarely seen and is usually associated with neurological symptoms. Perianeurysmal edema was found by postoperative MRI in three out of 182 patients with cerebral aneurysm, which was treated with Guglielmi Detachable Coil (GDC), and neurological symptoms developed simultaneously. In cases where neurological symptoms improved with conservative medical treatment, a temporary increase in the volume of an aneurysm, due to coil and thrombus formation, may result in edema. In cases where symptoms were not alleviated with conservative medical treatment, persistent water-hammer effect against the residual lumen of the aneurysm as well as an increase in the volume of aneurysm by hemorrhage in the aneurysmal wall may contribute to the development of perianeurysmal edema. Consideration of the mechanism of edema development by neurological symptoms, MRI findings, and angiographic findings is needed in order to select appropriate treatment.
Authors:
M Tomokiyo; K Kazekawa; M Onizuka; H Aikawa; M Tsutsumi; M Ikoh; T Kodama; K Nii; S Matsubara; A Tanaka
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Publication Detail:
Type:  Journal Article     Date:  2007-06-27
Journal Detail:
Title:  Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences     Volume:  13 Suppl 1     ISSN:  1591-0199     ISO Abbreviation:  Interv Neuroradiol     Publication Date:  2007 Mar 
Date Detail:
Created Date:  2010-06-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602695     Medline TA:  Interv Neuroradiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  145-50     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, Fukuoka University Chikushi Hospital, Fukuoka, Japan - maco-tomokiyo@r6.dion.ne.jp - kazekawa@xb3.so-net.ne.jp.
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