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由于可逆大脑血管收缩综合征而导致破裂的伪动脉瘤的粘合栓塞:一个说明性的案例

Mpuekela Tshibangu¹, Laura Stone McGuire¹, Peter Theiss¹

¹Department of Neurosurgery, University of Illinois Chicago, Chicago, Illinois, USA.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

|May 15, 2024

概括

可逆大脑血管收缩综合征 (RCVS) 可能导致伪动脉瘤. 使用nBCA的内血管栓塞成功治疗了RCVS的副次性伪动脉瘤,突出显示出血动力学变化是出血源.

科学领域:

神经学神经学
血管神经学血管神经学
干预性神经辐射学

背景情况:

可逆大脑血管收缩综合征 (RCVS) 呈现出雷击头痛和扩散大脑动脉血管收缩.
在RCVS中变化的脑血管音调可以导致出血或中风.
RCVS是一个越来越被认可的神经疾病.

研究的目的:

报告一个罕见的伪动脉瘤形成的罕见病例,这是RCVS的次要原因.
在RCVS的背景下描述伪动脉瘤的内血管管理.
要突出血动力学变化在RCVS相关出血中的作用.

主要方法:

从2000年到2023年,对一个机构的RCVS病例进行追溯审查.
诊断大脑血管造影以确定RCVS和伪动脉瘤.
内血管治疗涉及分支血管牺牲与nBCA和ethiodized油.

主要成果:

鉴定出了一例RCVS二次性伪动脉瘤病例.
大脑血管造影证实了RCVS和在皮层出血附近的左M4伪动脉瘤.
成功地实现了伪动脉瘤的内血管栓塞.

结论:

伪动脉瘤是一种罕见但显著的RCVS并发症.
在RCVS的血液动力学变化可能会导致伪动脉瘤形成和出血.
内血管nBCA栓塞是一种有效的治疗RCVS相关的伪动脉瘤.

关键词:

在RCVS中,可以使用RCVS.在 nBCA 粘合剂栓塞过程中.进行血栓切除术 (thrombectomy).

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