| Thrombosis and subsequent recanalization of a ruptured intracranial aneurysm in 2 children, demonstrating the value of repeating catheter angiography after an initial negative study. | |
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MedLine Citation:
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PMID: 20367338 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The cases of 2 children with true aneurysmal subarachnoid hemorrhages (SAHs) and initial false-negative angiograms are reported. In both cases, the initial angiogram was of adequate technical quality and included the projections on which aneurysms were later documented. There was no significant vasospasm at the time of initial angiography; therefore, transient aneurysm sac thrombosis was the most likely explanation for the initial false-negative studies. It is particularly interesting to note that 1 of the 2 patients had a pattern of hemorrhage compatible with the most limited definition of a perimesencephalic SAH, that is, a small prepontine cistern hemorrhage. If a second angiogram had been deemed unnecessary based on that criterion alone, a ruptured basilar tip aneurysm would have escaped detection and treatment. |
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Authors:
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Edison P Valle; Rafael J Tamargo; Philippe Gailloud |
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Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Journal of neurosurgery. Pediatrics Volume: 5 ISSN: 1933-0715 ISO Abbreviation: J Neurosurg Pediatr Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-04-06 Completed Date: 2010-04-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101463759 Medline TA: J Neurosurg Pediatr Country: United States |
Other Details:
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Languages: eng Pagination: 346-9 Citation Subset: IM |
Affiliation:
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Division of Interventional Neuroradiology, The Johns Hopkins Hospital, Baltimore, Maryland, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Aneurysm, Ruptured / radiography*, therapy Angiography, Digital Subtraction / standards* Cerebral Angiography / standards* Child False Negative Reactions Female Humans Intracranial Thrombosis / radiography* Reproducibility of Results Subarachnoid Hemorrhage / radiography* Tegmentum Mesencephali / blood supply, radiography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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