Excellent article...it is oft noted but no one bothered about it...its time some one looked into the matter. While radiology residents are pretty good in reporting in general, they lack the skills in vascular imaging and neuroradiology in general. Accuracy of On-Call Resident Interpretation of CT Angiography for Intracranial Aneurysm in Subarachnoid Hemorrhage via American Journal of Roentgenology current issue...

Interventional Stroke Therapies in the Elderly: Are We Helping?  Zeevi, N., Kuchel, G. A., Lee, N. S., Staff, I., McCullough, L. D. BACKGROUND AND PURPOSE: It is unclear whether endovascular therapies for the treatment of AIS are being offered or are safe in older adults. The use and safety of endovascular interventions in patients older than 75 years of age were assessed. MATERIALS AND METHODS: A retrospective...

Pediatric Intracranial Aneurysms: New and Enlarging Aneurysms after Index Aneurysm Treatment or ObservationBACKGROUND AND PURPOSE:Children with brain aneurysms may be at higher risk than adults to develop new or enlarging aneurysms in a relatively short time. We sought to identify comorbidities and angiographic features in children that predict new aneurysm formation or enlargement of untreated aneurysms.MATERIALS AND METHODS:Retrospective...

Cerebral Perfusion Long Term after Therapeutic Occlusion of the Internal Carotid Artery in Patients Who Tolerated Angiographic Balloon Test OcclusionGevers, S., Heijtel, D., Ferns, S. P., van Ooij, P., van Rooij, W. J., van Osch, M. J., van den Berg, R., Nederveen, A. J., Majoie, C. B.BACKGROUND AND PURPOSE:Therapeutic carotid occlusion is an established technique for treatment of large and giant aneurysms of the ICA, in patients...

This is the case of a middle aged patient with Fisher grade 3, Hunt and Hess grade 2 subarachnoid haemorrhage with a ruptured basilar tip aneurysm. The aneurysm was moderate sized, with a wide neck ~ 7 mm involving both the proximal p1 PCA segments (left more than right), and directed posterosuperiorly. The  Pcoms were seen although...

The presence/absence, degree and the speed of development of collateral flow in acute stroke strongly correlate with patient outcome. So far, DSA was the only reliable way to assess the colateral circulation. Of late, however, with the improved CT angiogram technology, excellent visualisation of teh medium sized vessels is possible and the...