Se presenta un caso de aneurisma de comunicante anterior de 10mm de diámetro, diagnosticado con resonancia nuclear mgnética y oculto en el estudio angiográfico, en un paciente con sangrado repetido y trombosis de la carótida interna. Se propone sustituir el término de «aneurisma angiográficamente oculto» por el de «aneurisma oculto». Finalmente, se sugiere introducir en el estudio etiológico de la hemorragia subaracnoidea con angiografía inicial negativa un estudio RNM y angio-RNM o de angio-TAC helicoidal precoz.
A case report of a 10mm anterior communicating aneurysm non visualized after an angiographic study and showed with MRI is described in a patient with recurrent hemorrhage and carotid artery occlusion. The authors propose change the term «occult angiographic aneurysm» by «occult aneurysm». Finally, they suggest include in the diagnostic work-up of the subarachnoid hemorrhage an early MRI and angio-MRI or Angio-CT helicoidal scan study in the event of a negative angiographic exploration.
Article
If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.
If you already have your login data, please click here .
If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.
