Hemorrhagic Stroke by I. Silverman, M. Rymer
By I. Silverman, M. Rymer
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Example text
The aneurysm treated with endovascular coiling is a left ICA lesion in the para-ophthalmic region (A). 3(E), had coiling of all three IAs. Widespread SAH is appreciated (B, right). Catheter-delivered aneurysm coils, often platinum based, create the same metallic artifact on CT scans as surgical clips. 11 Clot in the basal cisterns belies site of aneurysmal rupture. (1) A left MCA bifurcation aneurysm has ruptured into the Sylvian fissure and basal cisterns on non-contrast CT scan (A), and clarified with a CTA source image (arrow) (B).
9). 10). 11); however, occasionally, rupture may occur with minimal or no subarachnoid component. 14). Angiography is also the standard approach to monitoring the status of endovascular coils deposited within an IA, as they cause artifact on other imaging modalities. However, angiography is invasive, and, as iodinated dye does not penetrate the thrombus within an aneurysm, there is the potential to underestimate the overall size of the lesion. 8 Helical CT angiography. 6 mm. The reformatted image shows the location of this lesion relative to the skull base (B).
17/03/2010 08:05 32 Intracerebral Hemorrhage Mayer S. Ultra-early hemostatic therapy for intracerebral hemorrhage. Stroke 2003; 34: 224–9. PROGRESS Group. Randomised trial of a perindoprilbased blood-pressure-lowering regimen among 6105 individuals with previous stroke or transient ischaemic attack. Lancet 2001; 358: 1033–41. Qureshi A, Tuhrim S, Broderick J, Batjer H, Hondo H, Hanley D. Spontaneous intracerebral hemorrhage. N Engl J Med 2001; 344: 1450–60. Trouillas P, von Kummer R. Classification and pathogenesis of cerebral hemorrhages after thrombolysis in ischemic stroke.



