Quantitative susceptibility mapping as a possible tool to radiographically diagnose sentinel headache associated with intracranial aneurysm: Case report

Sentinel headache (SH) is estimated to occur prior to rupture of an aneurysm in 15-60% of aneurysmal subarachnoid hemorrhage (aSAH) cases. Non-contrasted computed tomography (CT) of brain and lumbar puncture are both negative, by definition, in patients presenting with SH. One of the theories explaining this phenomenon is micro-hemorrhage (MH) from the aneurysm wall contributing to iron deposition in the interface between the aneurysm wall and brain parenchyma. Quantitative susceptibility mapping (QSM) is a recently introduced magnetic resonance imaging (MRI) technique that has been shown capable of localizing the deposition of paramagnetic metals, particularly ferric iron.
Source: World Neurosurgery - Category: Neurosurgery Authors: Tags: Case Report Source Type: research