基底动脉穿孔动脉瘤 - - 内宇宙的幽灵威胁
Tomas Klail1, Sara Pilgram-Pastor1, Bettina Serrallach1
1University Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, Bern, Switzerland.
概括
基底动脉穿孔动脉瘤 (BAPAs) 越来越多地被诊断出由于更好的成像. 有限的证据挑战了BAPA的管理,尽管有些病例需要治疗以防止再次出血.
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:
- 大脑穿孔器提供深层大脑结构.
- 改进的成像检测这些动脉的动脉瘤,包括基底动脉穿孔动脉瘤 (BAPA).
- BAPAs可以引起周周脑出血,一种类型的脑下关节出血.
研究的目的:
- 提高对基底动脉穿孔动脉瘤 (BAPA) 的认识.
- 突出BAPAs的诊断挑战和管理考虑.
主要方法:
- 在中心管理BAPA的两例患者病例的审查.
- 使用高分辨率3D血管图像,并考虑融合成像.
- 评估了BAPAs的诊断和治疗策略.
主要成果:
- BAPA越来越多地通过先进的成像技术来诊断.
- 由于证据有限,BAPAs的管理具有挑战性.
- 保守的管理是可能的,但一些BAPAs需要干预以防止再次出血.
结论:
- 基底动脉穿孔动脉瘤 (BAPAs) 是次arachnoid 出血的一个重要原因.
- 为了最佳的BAPA管理,需要提高认识和进一步的研究.
- 病例介绍可以帮助理解和管理这些诊断不足的动脉瘤.
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