The pretzel sign: Angiographic pattern of tortuous intra-aneurysmal blood flow in a giant serpentine aneurysm

British Journal of Neurosurgery

Volumn 17, Issue 1, 2003, Pages 67-71

  Fanning, N F ^a   Kelleher, M O ^a   Ryder, D Q ^a  

^a Department of Medicine National University of Ireland Cork   (Ireland)

Author keywords

Balloon embolization; Cerebral angiography; Flow pattern; Giant serpentine aneurysms

Indexed keywords

ADULT; ARTERY BLOOD FLOW; ARTICLE; ARTIFICIAL EMBOLISM; BRAIN ANGIOGRAPHY; BRAIN ARTERY ANEURYSM; CASE REPORT; CLINICAL FEATURE; COMPUTER ASSISTED TOMOGRAPHY; FLOW MEASUREMENT; GIANT SERPENTINE ANEURYSM; HEMODYNAMICS; HUMAN; IMAGE ANALYSIS; MALE; NEUROLOGIC EXAMINATION; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; TREATMENT OUTCOME;

ADULT; CAROTID ARTERY, INTERNAL; CEREBROVASCULAR CIRCULATION; COLLATERAL CIRCULATION; EMBOLIZATION, THERAPEUTIC; HUMANS; INTRACRANIAL ANEURYSM; MALE; PONS; POSTOPERATIVE PERIOD; TEMPORAL LOBE;

EID: 0038367879     PISSN: 02688697     EISSN: None     Source Type: Journal    
DOI: 10.1080/026889031000093780     Document Type: Article

References (32)

1. Bull J. Massive aneurysms at the base of the brain. Brain 1969;92:535-70.
2. Morley TP, Barr HW. Giant intracranial aneurysms: diagnosis, course, and management. Clin Neurosurg 1969;16:73-94.
3. Sadik AR, Budzilovich GN, Shulman K. Giant aneurysm of the middle cerebral artery. J Neurosurg 1965;22:177-81.
4. Fodstad H, Liliequist B, Wirell S, Nilsson PE, Boquist L, Abdul-Rahman A. Giant serpentine intracranial aneurysm after carotid ligation. Case report. J Neurosurg 1978;49:903-9.
5. Haddad GF, Haddad FS. Cerebral giant serpentine aneurysm: case report and review of the literature. Neurosurgery 1988;23:92-7.
6. Kumabe T, Kaneko U, Ishibashi T, Kaneko K, Uchigasaki S. Two cases of giant serpentine aneurysm. Neurosurgery 1990;26:1027-32; discussion 1032-3.
7. Patel DV, Sherman IC, Hemmati M, Ferguson RJ. Giant serpentine intracranial aneurysm. Surg Neurol 1981;16:402-7.
8. Segal HD, McLaurin RL. Giant serpentine aneurysm. Report of two cases. J Neurosurg 1977;346:115-20.
9. Tomasello F, Albanese V, Cioffi FA. Giant serpentine aneurysms: a separate entity. Surg Neurol 1979;12:429-32.
10. Fukamachi A, Hirato M, Wakao T, Kawafuchi J. Giant serpentine aneurysm of the posterior cerebral artery. Neurosurgery 1982;11:271-6.
11. Mawad ME, Klucznik RP. Giant serpentine aneurysms. radiographic features and endovascular treatment. Am J Neuroradiol 1995;16:1053-60.
12. Belec L, Cesaro P, Brugieres P, Gray F. Tumor-simulating giant serpentine aneurysm of the posterior cerebral artery. Surg Neurol 1988;29:210-15.
13. Terao H, Muraoka I. Giant aneurysm of the middle cerebral artery containing an important blood channel. Case report. J Neurosurg 1972;37:352-6.
14. Li ZB, Zhao H, Zhang S. Giant serpentine intracranial aneurysm. A case report. Chin Med J (Engl) 1988;101:55-7.
15. Aletich VA, Debrun GM, Monsein LH, Nauta HJ, Spetzler RF. Giant serpentine aneurysms: a review and presentation of five cases. Am J Neuroradiol 1995;16:1061-72.
16. Otsuka G, Miyachi S, Handa T et al. Endovascular trapping of giant serpentine aneurysms by using Gulielmi detachable coils: successful reduction of mass effect. Report of two cases. J Neurosurg 2001;94:836-40.
17. Sano H, Kato Y, Shanker K et al. Treatment and results of partially thrombosed giant aneurysms. Neurol Med Chir (Tokyo) 1998;38:58-61.
18. Anson JA, Lawton MT, Spetzler RF. Characteristics and surgical treatment of dolichoectatic and fusiform aneurysms. J Neurosurg 1996;84:185-93.
19. Pinto RS, Kricheff II, Butler AR, Murali R. Correlation of computed tomographic, angiographic, and neuropathological changes in giant cerebral aneurysms. Radiology 1979;132:85-92.
20. Vlahovitch B, Fuentes JM, Reynaud C, Benbouzid T, Mazariegos R. [Series of 17 cases of giant intracranial aneurysms. Long-term surgical follow-up and hemodynamic effects of arterial occlusions]. Neurochirurgie 1985;31:255-63.
21. Lukin RR, Chambers AA, McLaurin R, Tew J, Jr. Thrombosed giant middle cerebral aneurysms. Neuroradiology 1975;10:125-9.
22. Suzuki S, Takahashi T, Ohkuma H, Shimizu H, Fujita S. Management of giant serpentine aneurysms of the middle cerebral artery - review of literature and report of a case successfully treated by STA-MCA anastomosis only. Acta Neurochir (Wien) 1992;117:23-9.
23. Whittle IR, Williams DB, Halmagyi GM, Besser M. Spontaneous thrombosis of a giant intracranial aneurysm and ipsilateral internal carotid artery. Case report J Neurosurg 1982;56:287-9.
24. Horowitz MB, Yonas H, Jungreis C, Hung TK. Management of a giant middle cerebral artery fusiform serpentine aneurysm with distal clip application and retrograde thrombosis: case report and review of the literature. Surg Neurol 1994;41:221-5.
25. Tuna M, Gocer AI, Ozel S, Bagdatoglu H, Zorludemir S, Haciyakupoglu S. A giant dissecting aneurysm mimicking serpentine aneurysm angiographically. Case report and review of the literature. Neurosurg Rev 1998;21:284-9.
26. Robinson JL, Roberts A. Operative treatment of aneurysms and Coanda effect: a working hypothesis. J Neurol Neurosurg Psychiatry 1972;35:804-9.
27. Eichler A, Story JL, Bennett DE, Galo MV. Traumatic aneurysm of cerebral artery. Case report. J Neurosurg 1969;31:72-6.
28. Overton MC, 3rd, Calvin TH, Jr. Iatrogenic cerebral cortical aneurysm. Case report. J Neurosurg, 1966;24:672-5.
29. Taylor PE. Delayed postoperative haemorrhage from intracranial aneurysm after craniotomy for tumour. Neurology, 1961;11:225-31.
30. Bakac G, Gholkar A, Mendelow AD. Delayed aneurysm formation following surgery for a giant serpentine aneurysm. Br J Neurosurg 1997;11:260-3.
31. Greene KA, Anson JA, Spetzler RF. Giant serpentine middle cerebral artery aneurysm treated by extracranial-intracranial bypass. Case report. J Neurosurg 1993;78:974-8.
32. Chang HS, Fukushima T, Takakura K, Shimizu T. Aneurysms of the posterior cerebral artery: report of ten cases. Neurosurgery 1986;19:1006-11.