两个同时发生的大脑动脉瘤的连续破裂.
Joseph Yoon1, Ryan Goh1, Craig Winter1
1Kenneth Jamieson Department of Neurosurgery, Royal Brisbane and Women's Hospital, Brisbane, Australia.
British journal of neurosurgery
|July 12, 2023
概括
一个罕见的顺序性动脉瘤下关节出血 (SAH) 病例发生在一名年轻女性身上. 她经历了第二次SAH从一个不同的脑动脉瘤16天后第一个,突出这一罕见的现象.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 血管神经学 血管神经学
背景情况:
- 多重脑动脉瘤经常被诊断为患有下关节出血 (SAH) 的患者.
- 在从初始出血中恢复时,第二个动脉瘤破裂是非常罕见的.
研究的目的:
- 报告一例罕见的连续性脑下动脉瘤出血病例.
- 为有限的关于同时和顺序SAH的文献做出贡献.
主要方法:
- 一个21岁的女性患有WFNS等级1SAH的案例报告.
- 最初的治疗包括切割右后沟通动脉动脉瘤.
- 第二次SAH发生在16天后,来自左前冠状动脉动脉瘤,用卷曲治疗.
- 数字减去血管造影用于动脉瘤比较.
主要成果:
- 患者在16天内经历了来自不同脑动脉瘤的两个单独的SAH事件.
- 第二个动脉瘤在事件之间显示出显著的增长 (从2.7x2毫米到4.4x2.3毫米).
- 对同步和顺序的SAH进行了文献审查.
结论:
- 连续性动脉瘤下关节出血,虽然很少见,但在初始事件发生后不久就会发生.
- 这一案例强调了警的重要性,以及在特定的临床场景中迅速增长动脉瘤的可能性.
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