血管壁成像在血管造影-负的扩散性脑下下垂体出血揭示了破裂的晶状管状动脉瘤
Huy Quang Phi1, Suehyb Ghazi Alkhatib2, Scott Bruce Raymond3
1Drexel University College of Medicine, Philadelphia, PA, USA.
Neurointervention
|June 5, 2024
概括
这项研究突出显示了一种罕见的侧向晶状动脉 (LSA) 动脉瘤破裂的罕见病例,导致脑下关节下出血 (SAH). 血管壁成像在初始血管造影呈阴性后对诊断至关重要,有助于迅速进行手术干预.
科学领域:
- 神经学 神经学
- 放射学 放射学是一门学科.
- 血管外科 血管外科
背景情况:
- 脑下关节下出血 (SAH) 呈现出急性神经系统缺陷.
- 确定SAH的来源对于及时有效治疗至关重要.
- 侧向晶状动脉 (LSA) 动脉瘤是罕见的,在诊断上具有挑战性.
研究的目的:
- 报告一个罕见的横向晶状动脉 (LSA) 动脉瘤破裂的病例.
- 评估磁共振血管壁成像 (VWI) 在诊断破裂动脉瘤时的实用性,当传统血管造影是负面的.
- 突出LSA动脉瘤的诊断和治疗挑战.
主要方法:
- 一名患有急性SAH和神经缺陷的患者接受了初始数字减去血管造影 (DSA).
- 重复的DSA揭示了左侧内动脉和左侧LSA的疑似动脉瘤.
- 进行磁共振血管壁成像 (VWI) 进一步评估动脉瘤.
主要成果:
- 最初的DSA没有确定SAH的来源.
- 重复的DSA引起了对LSA动脉瘤的怀疑.
- VWI在LSA动脉瘤圆顶周围显示了血管壁增强,表明了断裂.
- 该患者通过手术剪切破裂的LSA动脉瘤成功治疗.
结论:
- 侧向晶状动脉动脉瘤是罕见的,并与高发病率相关.
- 血管壁成像 (VWI) 可以是一个有价值的工具,用于检测破裂动脉瘤在血管图阴性脑下关节出血的情况下.
- 及时诊断对于管理LSA动脉瘤至关重要.
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