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Research ArticleExpedited Publication
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Resolution of Mass Effect and Compression Symptoms following Endoluminal Flow Diversion for the Treatment of Intracranial Aneurysms

I. Szikora, M. Marosfői, B. Salomváry, Z. Berentei and I. Gubucz
American Journal of Neuroradiology May 2013, 34 (5) 935-939; DOI: https://doi.org/10.3174/ajnr.A3547
I. Szikora
aFrom the Departments of Neurointerventions (I.S., M.M., Z.B., I.G.)
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M. Marosfői
aFrom the Departments of Neurointerventions (I.S., M.M., Z.B., I.G.)
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B. Salomváry
bNeuroophthalmology (B.S.), National Institute of Clinical Neurosciences, Budapest, Hungary.
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Z. Berentei
aFrom the Departments of Neurointerventions (I.S., M.M., Z.B., I.G.)
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I. Gubucz
aFrom the Departments of Neurointerventions (I.S., M.M., Z.B., I.G.)
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    Fig 1.

    Complete angiographic occlusion of a paraophthalmic aneurysm and aneurysm collapse following FD treatment. A, Large paraophthalmic aneurysm (arrow) causing optic nerve neuropathy on DSA, lateral view. The patient's visual acuity was 0.4. B, Complete angiographic occlusion of the aneurysm and reconstruction of the parent artery (arrow) 6 months after treatment with a PED. The patient's visual acuity was 0.5. C, The same aneurysm demonstrated by T2WI with mass effect (arrow) and mixed signal intensity. D, Lack of signal void within the aneurysm on T2WI in the same patient 2 months later indicates aneurysm thrombosis. The size of the aneurysm and related mass effect remain unchanged (arrow). Optic nerve neuropathy progressed; the patient's visual acuity was 0.1. E, T2WI in the same patient demonstrates aneurysm collapse and elimination of mass effect at 18 months after treatment. The patient's visual acuity at this point was 0.9.

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    Fig 2.

    Incomplete angiographic occlusion and remaining mass effect following FD treatment. A, A large bilobulated paraophthalmic aneurysm (arrows) causing optic nerve compression as demonstrated by DSA, lateral view. B, DSA, lateral view 6 months after PED treatment. The arrow indicates residual filling in the lower lobule of the aneurysm. C, T2WI shows mixed signal intensity inside the aneurysm (arrow) before treatment. The patient's visual acuity was 0.2. D, T2WI 18 months after treatment demonstrates high T2 signal inside the aneurysm. The low-signal rim was related to aneurysm wall calcification, and the aneurysm size remained unchanged. The patient's visual acuity deteriorated slightly (0.1).

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American Journal of Neuroradiology: 34 (5)
American Journal of Neuroradiology
Vol. 34, Issue 5
1 May 2013
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Cite this article
I. Szikora, M. Marosfői, B. Salomváry, Z. Berentei, I. Gubucz
Resolution of Mass Effect and Compression Symptoms following Endoluminal Flow Diversion for the Treatment of Intracranial Aneurysms
American Journal of Neuroradiology May 2013, 34 (5) 935-939; DOI: 10.3174/ajnr.A3547

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Resolution of Mass Effect and Compression Symptoms following Endoluminal Flow Diversion for the Treatment of Intracranial Aneurysms
I. Szikora, M. Marosfői, B. Salomváry, Z. Berentei, I. Gubucz
American Journal of Neuroradiology May 2013, 34 (5) 935-939; DOI: 10.3174/ajnr.A3547
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