持续的三叉动脉动脉瘤破裂诱导一个大脑腔囊:它的呈现和管理. 一个说明性的案例
Luke A Silveira1, Elnur Delahmetovic1, Michael Bounajem2
1Division of Neurosurgery, The University of Vermont Medical Center, Burlington, Vermont.
Journal of neurosurgery. Case lessons
|September 9, 2024
概括
耳腔 (CCFs) 很少可能是由于破裂的持续三角动脉 (PTA) 动脉瘤造成的. 这一案例凸显了在CCF患者中识别PTA的重要性,以进行量身定制的治疗,并成功实现了线圈栓塞.
科学领域:
- 血管神经学 血管神经学
- 干预性神经辐射学
- 头骨神经疾病 头骨神经疾病
背景情况:
- 冠状动脉-洞穴 (CCF) 涉及冠状动脉和洞穴鼻腔之间的异常连接.
- 典型的症状包括proptosis,chemosis和神经.
- CCF通常是创伤后的,但可以自发地从动脉瘤中出现,包括罕见的涉及持续三角动脉 (PTA) 的病例.
研究的目的:
- 报告一种罕见的,由于破裂的三叉关动脉 (PTA) 动脉瘤而导致的第二次性喉洞穴 (CCF) 病例.
- 讨论PTA相关的CCF的独特诊断和治疗考虑因素.
主要方法:
- 一个54岁的妇女的病例介绍,她患有CCF和头骨神经VI.
- 诊断证实是由于PTA动脉瘤破裂的次要原因.
- 治疗包括动脉瘤和母PTA血管的线圈栓塞.
主要成果:
- 通过线圈栓塞实现了CCF的成功关闭.
- 患者的症状,包括CN VI和头痛,通过干预得到解决.
结论:
- 临床医生必须考虑在患有鼻洞 (CCF) 的患者中存在持久的三动脉 (PTA),这是由于独特的治疗影响.
- 如果对后部循环至关重要,则可能需要保存PTA.
- 动脉瘤和母体PTA的栓塞在存在充足的附带循环时是可行的治疗选择.
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