延迟的内 Carotid 动脉解剖模仿脑血管在下大脑关节出血后:一个案例报告
Tim Lampmann1, Franziska Dorn2, Arndt-Hendrik Schievelkamp2
1Department of Neurosurgery, University Hospital Bonn, Bonn, Germany.
概括
一个延迟的动脉剖析模仿脑血管,在下大脑关节出血后引起显著的hyperfusion. 支架重建迅速恢复了大脑输液和神经功能.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 延迟大脑缺血症 (DCI) 和大脑血管 (CVS) 是下大脑下出血 (SAH) 后的常见并发症.
- 部计算机断层扫描 (CT) 扫描用于检测,但可能无法可视化宫血管.
- 大脑血管是SAH患者中最常见的低输液原因.
研究的目的:
- 报告一种罕见的延迟内动脉 (ICA) 剖析病例,在SAH后呈现为低流.
- 突出诊断挑战和治疗SAH中低输血的非血管的原因.
主要方法:
- 一名63岁的女性患者患有动脉瘤SAH接受了治疗.
- CT血管造影 (CTA) 和 perfusion 影像显示左半球低 perfusion 和亚总 ICA 狭窄,怀疑是剖析.
- 患者接受了ICA的支架重建的治疗.
主要成果:
- 患者在SAH后的第11天出现了失言症和左半球低输血.
- 在CTA检测中,发现了半总的Petrous ICA狭窄,可疑的剖析,这在以前并不明显.
- 在ICA支架重建后,大脑输液和临床症状迅速正常化.
结论:
- 内动脉的外干预剖析可以导致显著的狭窄和低,模仿SAH后的大脑血管.
- 剖析的延迟呈现值得注意,并且需要在SAH后低输液的差异诊断中加以考虑.
- 及时诊断和内血管治疗,如支架重建,可以有效地管理ICA剖析引起的低输液和神经缺陷.
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