We expect to reveal the limitations of 3D digital subtract angiography with the case in this study that involves both false negative and false positive outcomes of 3D digital subtract angiography.
Objective: The aim of this study was to report a case that underwent a craniotomy after primary pre-operative cerebrovascular and 3D digital subtract angiography (DSA) showed wrong outcomes. DSA misdiagnosis and missed diagnosis of aneurysms were found, and the subject was subsequently treated correspondingly. This case was analysed to identify 1) the cause of the false positive and false negative results in DSA, 2) the limitations of 3D DSA and 3) the experience and lessons learned.
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