[MRI localization of paraclinoid carotid aneurysms]
L Thines1, C Delmaire, D Le Gars
1Clinique Neurochirurgicale, Hôpital Roger-Salengro, CHRU, rue du Professeur Emile Laine, 59037 Lille Cedex. Laurent.Thines@wanadoo.fr
Aim:
The distal dural ring plane (DDRP) separates the intracavernous from the supracavernous paraclinoid internal carotid artery. The purpose of this MRI protocol is to evaluate the position of this plane for the characterization of paraclinoid aneurysms.
Method:
The protocol uses a T2 weighted sequence in two orthogonal planes (diaphragmatic and carotid planes) and two correlation lines in each plane. These lines pass through anatomo-radiological reference points correlated with the medio-lateral and antero-posterior margins of the DDRP. We use the intersection angle of these lines as the inferior radiological limit of the DDRP curve.
Results:
An aneurysm located above this angle is supracavernous; an aneurysm located below this angle is intracavernous; an aneurysm crossing this angle is transitional.
Conclusion:
In difficult cases, this MRI protocol could help better characterize the exact localization of paraclinoid aneurysms on both sides of the cavernous sinus roof.
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