在线栓塞后的大脑血管对于未破裂的前部通讯动脉动脉瘤:说明案例
Journal of neurosurgery. Case lessons
|March 7, 2024
概括
大脑血管是一个罕见的并发症,用于未破裂的大脑动脉瘤的线圈栓塞. 用法苏迪尔化水合物及时治疗可以有效地逆转症状并预防神经系统缺陷.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 干预性神经辐射学
背景情况:
- 大脑血管是脑动脉瘤剪切后的一个已知的并发症.
- 在未破裂的大脑动脉瘤的线圈栓塞后发生大脑血管的报道很少见.
- 这项研究介绍了一例脑血管经由支架辅助的线圈栓塞,用于未破裂的前侧沟通动脉动脉瘤.
研究的目的:
- 报告一个罕见的脑血管的情况后,卷轴栓塞为一个未破裂的脑动脉瘤.
- 强调对这种并发症及时识别和干预的重要性.
主要方法:
- 一名58岁的妇女接受了支架辅助线圈栓塞,以治疗未破裂的前沟通动脉动脉瘤.
- 手术后出现的症状包括头痛,不安,失方向和半等.
- 在右中脑动脉中血管的诊断通过MRI和血管造影得到证实.
- 静脉内法苏迪尔化水合物被用于治疗血管.
主要成果:
- 在施用fasudil后,中脑动脉血流立即有所改善.
- 患者在手术后8天出院,没有出现神经学缺陷.
- 这一案例证明了成功管理栓塞后大脑血管的潜力.
结论:
- 即使在未破裂的大脑动脉瘤的线圈栓塞后,大脑血管也可能发生.
- 在这种情况下,立即干预至关重要,以预防脑梗塞.
- 早期诊断和治疗对于有利的患者结果至关重要.
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