Abstract
A 6-year-old girl with tuberous sclerosis was found to have multiple intracranial fusiform arterial aneurysms. This represents the fifth reported case of this association. The concepts of an arterial dysplasia being present in cases of tuberous sclerosis and of developmental defects being the cause of some intracranial aneurysms are discussed. The need for a prospective study to assess the prevalence of intracranial aneurysms in patients with tuberous sclerosis is suggested.
To evaluate the reliability of magnetic resonance angiography for detecting intracranial aneurysms a prospective study was performed in 21 consecutive patients affected by SAH and in 13 patients in whom aneurysms were suspected on standard SE RM. In the SAH cohort 8 of 21 clearly showed an aneurysm, 3 of 21 were doubtfull. In the 13 patients without SAH, aneurysms were confirmed in 12. Due to flow artefacts in the small aneurysms a deceptive pseudoloop pattern was often observed.
Letter by Pierot Regarding Article “Flow-Diverter Stent for the Endovascular Treatment of Intracranial Aneurysms: A Prospective Study in 29 Patients With 34 Aneurysms”
