Diagnostic value of multidetector computed tomographic angiography in early diagnosis of intracranial aneurysms in the anterior communicating artery (ACoA)

• Published in: Acta chirurgica Iugoslavica Vol. 60; no. 4; pp. 71 - 75
• Main Authors: Djoric, Igor, Saranovic, Djordjije, Sagic, Dragan, Jovanovic, Vladimir, Nikolic, Igor, Repac, Nikola, Janicijevic, Aleksandar, Scepanovic, Vuk, Ivanisevic, Vesna, Tasic, Goran
• Format: Journal Article
• Language: English
• Published: 2013
• ISSN: 0354-950X; 2406-0887
• DOI: 10.2298/ACI1304071D

Multidetector computed tomographic angiography (MDCTA) is a non-invasive,
highly sophisticated and readily available diagnostic method nowadays gained
primacy in the algorithm of the blood vessels of the brain. MDCTA showed the
highest sensitivity and specificity for early detection of ruptured
intracranial aneurysms. Saccular aneurysm geometry (shape and size), anatomic
localization, and patient-dependent factors individually and together
determine the risk of rupture of the aneurysm. Unruptured aneurysms in
anterior communicating artery showed twice the possibility of rupture than
other intracranial aneurysms. Clinical history ACoA aneurysms after rupture
is particularly difficult. This justifies the efforts to determine the real
risk of these aneurysms when SAH was not found on the native scan
endocranium. It is here that the diagnostic value and usefulness of MDCTA
examination increases significantly and its true dimension.
nema