Temporary test occlusion of distal middle cerebral artery using GDC Coil

G. Logan Douds, Paul Kalapos, Kevin Cockroft

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The treatment of small distal intracranial aneurysms often requires parent vessel occlusion. However, this may be particularly challenging in patients in which the parent vessel serves eloquent brain. Superselective amytal testing is often conducted in these cases, but may prove unreliable or inconclusive. In order to more specifically assess the functional significance of the parent vessel in this patient with a distal left middle cerebral artery pseudoaneurysm who had failed superselective amytal testing, we used a Guglielmi Detachable coil to perform a temporary test occlusion. Testing was performed with the patient awake and examinable, and after no neurological changes were noted, the vessel was permanently occluded, successfully treating the aneurysm. To our knowledge, this is the first report to describe this unique method for assessing a parent vessel that previously had been thought to supply eloquent brain during amytal testing.

Original languageEnglish (US)
Pages (from-to)183-186
Number of pages4
JournalJournal of Neuroimaging
Volume20
Issue number2
DOIs
StatePublished - Jan 1 2010

Fingerprint

Amobarbital
Middle Cerebral Artery Infarction
False Aneurysm
Middle Cerebral Artery
Brain
Intracranial Aneurysm
Aneurysm
Therapeutics

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

@article{dcd8fcfe25cc4c0da0619400b2a37688,
title = "Temporary test occlusion of distal middle cerebral artery using GDC Coil",
abstract = "The treatment of small distal intracranial aneurysms often requires parent vessel occlusion. However, this may be particularly challenging in patients in which the parent vessel serves eloquent brain. Superselective amytal testing is often conducted in these cases, but may prove unreliable or inconclusive. In order to more specifically assess the functional significance of the parent vessel in this patient with a distal left middle cerebral artery pseudoaneurysm who had failed superselective amytal testing, we used a Guglielmi Detachable coil to perform a temporary test occlusion. Testing was performed with the patient awake and examinable, and after no neurological changes were noted, the vessel was permanently occluded, successfully treating the aneurysm. To our knowledge, this is the first report to describe this unique method for assessing a parent vessel that previously had been thought to supply eloquent brain during amytal testing.",
author = "Douds, {G. Logan} and Paul Kalapos and Kevin Cockroft",
year = "2010",
month = "1",
day = "1",
doi = "10.1111/j.1552-6569.2008.00341.x",
language = "English (US)",
volume = "20",
pages = "183--186",
journal = "Journal of Neuroimaging",
issn = "1051-2284",
publisher = "Wiley-Blackwell",
number = "2",

}

Temporary test occlusion of distal middle cerebral artery using GDC Coil. / Douds, G. Logan; Kalapos, Paul; Cockroft, Kevin.

In: Journal of Neuroimaging, Vol. 20, No. 2, 01.01.2010, p. 183-186.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Temporary test occlusion of distal middle cerebral artery using GDC Coil

AU - Douds, G. Logan

AU - Kalapos, Paul

AU - Cockroft, Kevin

PY - 2010/1/1

Y1 - 2010/1/1

N2 - The treatment of small distal intracranial aneurysms often requires parent vessel occlusion. However, this may be particularly challenging in patients in which the parent vessel serves eloquent brain. Superselective amytal testing is often conducted in these cases, but may prove unreliable or inconclusive. In order to more specifically assess the functional significance of the parent vessel in this patient with a distal left middle cerebral artery pseudoaneurysm who had failed superselective amytal testing, we used a Guglielmi Detachable coil to perform a temporary test occlusion. Testing was performed with the patient awake and examinable, and after no neurological changes were noted, the vessel was permanently occluded, successfully treating the aneurysm. To our knowledge, this is the first report to describe this unique method for assessing a parent vessel that previously had been thought to supply eloquent brain during amytal testing.

AB - The treatment of small distal intracranial aneurysms often requires parent vessel occlusion. However, this may be particularly challenging in patients in which the parent vessel serves eloquent brain. Superselective amytal testing is often conducted in these cases, but may prove unreliable or inconclusive. In order to more specifically assess the functional significance of the parent vessel in this patient with a distal left middle cerebral artery pseudoaneurysm who had failed superselective amytal testing, we used a Guglielmi Detachable coil to perform a temporary test occlusion. Testing was performed with the patient awake and examinable, and after no neurological changes were noted, the vessel was permanently occluded, successfully treating the aneurysm. To our knowledge, this is the first report to describe this unique method for assessing a parent vessel that previously had been thought to supply eloquent brain during amytal testing.

UR - http://www.scopus.com/inward/record.url?scp=77950599299&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77950599299&partnerID=8YFLogxK

U2 - 10.1111/j.1552-6569.2008.00341.x

DO - 10.1111/j.1552-6569.2008.00341.x

M3 - Article

C2 - 19187477

AN - SCOPUS:77950599299

VL - 20

SP - 183

EP - 186

JO - Journal of Neuroimaging

JF - Journal of Neuroimaging

SN - 1051-2284

IS - 2

ER -