By Professor Michael Forsting MD, PhD (auth.), Michael Forsting MD, PhD, Isabel Wanke MD, PhD (eds.)
This booklet describes the pathoanatomical, pathophysiological, and imaging positive factors of vascular malformations and aneurysms of the mind and the trendy, minimally invasive endovascular equipment and methods hired of their remedy. person chapters are dedicated to developmental venous malformations, cavernomas and capillary telangiectasias, pial arteriovenous malformations, dural arteriovenous malformations, and intracranial aneurysms. every one bankruptcy is subdivided into 4 primary sections on pathology, medical presentation, diagnostic imaging, and treatment, making sure a standardized technique all through. All chapters during this 2d revised version of Intracranial Vascular Malformations and Aneurysms were completely up-to-date. The booklet is richly illustrated with a variety of informative CT, MR and DSA pictures, together with high-end 7-Tesla MR images.
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This ebook describes the pathoanatomical, pathophysiological, and imaging positive aspects of vascular malformations and aneurysms of the mind and the fashionable, minimally invasive endovascular equipment and methods hired of their therapy. person chapters are dedicated to developmental venous malformations, cavernomas and capillary telangiectasias, pial arteriovenous malformations, dural arteriovenous malformations, and intracranial aneurysms.
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Extra resources for Intracranial Vascular Malformations and Aneurysms: From Diagnostic Work-Up to Endovascular Therapy
A Computed tomography scan reveals a hyperdense lesion in the right occipital lobe with perifocal edema. The lesion has a heterogeneous density with a very dense core and reduced attenuation values at the peripheral zone. b T2*-weighted gradient-echo image displays the lesion as a dark spot. c The T2-weighted turbo spin-echo image shows a dark center with a bright rim of edema. d This ﬂow-sensitive gradient-echo sequence demonstrates a bright core with a pseudocapsule. A maximum-intensity projection of this sequence will display arterial vessels and the bright hemorrhage, giving rise to a misinterpretation of the cavernoma as an aneurysm.
J Neurol Neurosurg Psychiatry 66:561–568 Moriarity JL, Wetzel M, Clatterbuck RE, Javedan SJ, Sheppard JM, Hoenig-Rigamonti K, Crone NE, Breiter SN, Lee RR, Rigamonti D (1999) The natural history of cavernous malformations: a prospective study of 68 patients. Neurosurgery 44:1166–1173 Mull M, Reinhardt J, Bertalanffy H, Thron A (1995) Preand postoperative ﬁ ndings in cavernomas of the CNSdiagnostic limitations and pitfalls. Neuroradiology 37(Suppl 1):49 Naff NJ, Wemmer J, Hoenig-Rigamonti K, Rigamonti DR (1998) A longitudinal study of patients with venous malformations: documentation of a negligible hemorrhage risk and benign natural history.
Magnetic resonance imaging revealed two mirror-like cavernomas, both located at the surface of the brain. The headache attacks were probably caused by repetitive microbleeds into the subarachnoid space and stopped after removal of the malformations a b 27 28 W. Küker and M. Forsting a b c d f e Fig. 7a–f. Giant, partially exophytic brain-stem cavernoma. a Computed tomography at the time of admission with a hyperdense lesion at the pontomedullary junction. 5 T. b Transverse T2weighted turbo spin-echo image at the level of the internal auditory canal.