We describe two cases in which balloons were used to aid in the occlusion of intracranial aneurysms with Guglielmi detachable coils. In both patients, initial attempts to place coils within the aneurysmal sac failed, as the loops of the coil repeatedly protruded through a wide aneurysmal neck into the parent vessel. Temporary balloons placed across the neck… (More)
PURPOSE To determine the association of intracranial arterial fenestration and aneurysms. METHODS We retrospectively reviewed 5,190 cerebral angiogram reports and identified 37 patients with arterial fenestrations. RESULTS These 37 patients had 38 fenestrated arteries: 16 basilar, 10 vertebral, nine middle cerebral, and three anterior cerebral arteries.… (More)
True synovial cysts of the spine are rare though they are included in the differential diagnosis of an extradural lesion in a patient with radicular pain or pain localized in the involved level of the spine. We present the second reported case of a synovial cyst of the cervical spine, and review the literature. A 42-year-old woman was in good health until 2… (More)
Gliosarcoma is a brain neoplasm that is being recognized with increasing frequency. We discuss the radiographic findings in 14 pathologically proven cases. At angiography in nine cases, four showed mixed dural and pial vascular supply to the lesion. Early cortical venous drainage, irregular tumor vessels, and a prominent vascular stain with well-defined… (More)
Two patients with proven intramedullary spinal cord hemangioblastomas were examined with intraoperative ultrasound. The ultrasonic features of a hyperechoic intramedullary mass accompanied by nearby cysts and, in one case, by a syrinx correspond with well-known pathological and computed tomographic descriptions of these tumors. Ultrasonic guidance enabled… (More)
We report a case of absence of the supraclinoid segment of the left internal carotid artery associated with hypoplasia of the ipsilateral internal carotid artery and anterior communicating artery aneurysm formation. We discuss the embryology probably responsible for this anatomical variant and show the imaging findings.
An unusual case of hemorrhage within a cyst in the choroid plexus of the lateral ventricle is presented. Choroid plexus cysts are commonly found incidentally on imaging studies, particularly MRI, where their characteristic appearance produces little diagnostic difficulty. In this case, high signal intensity of the cyst contents on T1-weighted images and… (More)
MR imaging was performed on 21 patients who had high-grade myelographic block due to various diseases in all spinal compartments (extradural, intradural/extramedullary, and intramedullary) and in all portions of the spinal canal (cervical, thoracic, and lumbosacral). Loss of CSF pulsation artifacts due to significant compression of the spinal cord was… (More)