J Neuroradiology
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Review Case Reports
Fatal hemorrhagic complication following endovascular treatment of a cerebral arteriovenous malformation. Case report and review of the literature.
Evaluation of the natural history of brain Arteriovenous Malformations (AVMs) including its morbidity and mortality is a crucial point in the management of patients having a cerebral AVM. The risks associated with the AVM natural history, especially regarding the occurrence of an hemorrhage, have to be compared to the risks due to the therapeutic approach. In the literature, the risk of annual bleeding of an AVM is estimated from 2 to 4%. ⋯ This case contributes to remind that embolization, even in specialized centers with experience in the management of this pathology, can be followed by a poor and even fatal outcome. In most cases, the treatment is performed in order to protect the patient of a potential risk. Consequently, the complication of the embolization must always be carefully considered and discussed between the medical team, the patient and its family for planning the AVM endovascular treatment.
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The aim of this study was to assess the role of spiral CT for the diagnosis of brain death. ⋯ The absence of internal cerebral vein opacification and the absence of bilateral enhancement of cortical MCA branches constituted the best criteria of brain death by contrast enhanced spiral CT.
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Review Case Reports
Elephantiasis neuromatosa in neurofibromatis type I. MRI findings with review of the literature.
We report the case of a patient with NF-1 who presented with gross elephantiasis neuromatosa of her right leg. Prior to plastic surgery, Magnetic Resonance Imaging and Angiography (MRI and MRA) were performed to provide a detailed assessment of the extension as well as the vascular and muscular involvement of the neurofibroma.
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Comparative Study Clinical Trial
[Can multislice helical computed tomography replace conventional angiography in the diagnosis of non traumatic subarachnoid hemorrhage?].
To evaluate the reliability of CT angiography in the diagnosis of non traumatic subarachnoid hemorrhage. ⋯ CT angiography can be considered as a first line imaging technique for diagnosis of non traumatic subarachnoid hemorrhage. However, conventional angiography including three dimensional acquisitions must be performed for all cases where the cause of hemorrhage remains undiagnosed at CT angiography.