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破裂的远端中脑动脉动脉瘤在一个儿科患者:说明案例

Jonathan Espinosa¹, Gregory Murtha¹, Samon Tavakoli²

¹Department of Neurosurgery, University of Texas Health San Antonio, San Antonio, Texas.

Journal of neurosurgery. Case lessons

|May 19, 2025

概括

儿童内动脉瘤很少见,可能与成人病例不同. 这项研究详细介绍了一名患有远端中脑动脉动脉瘤的7岁男孩,由于出血而接受了开放式手术治疗.

科学领域:

儿科神经外科儿科神经外科
脑血管外科脑血管外科

背景情况:

儿童内动脉瘤 (IA) 不常见,占所有IA的<5%.
儿科IA的病理学和管理可能与成人不同.
这里介绍了一个7岁儿童的大型,部分血栓化远端中脑动脉 (MCA) 动脉瘤的病例.

研究的目的:

报告一个罕见的儿科内动脉瘤与内出血的病例.
讨论儿科动脉瘤的管理考虑.

主要方法:

一名7岁的男孩在CT上呈现左半和右前额膜内出血 (IPH).
数字减去血管造影 (DSA) 证实了一个大,部分血栓化的远端MCA动脉瘤.
手术治疗涉及右前额头骨切除,用于动脉瘤剪切,切除和血液瘤疏散,并进行手术内DSA确认.

主要成果:

患者接受了成功的手术干预.
在6个月的随访后,患者恢复到神经学基线.
每年的脑血管放射监测正在进行中.

结论:

患有IPH的儿科动脉瘤很少见,需要特殊的诊断和治疗方法.
由于IPH和远端动脉瘤的位置,选择了开放式手术干预.
儿科动脉瘤的病因可能与成人不同,需要量身定制的治疗策略.

关键词:

动脉动脉瘤是一个动脉瘤.内体内出血的发生儿科儿科儿科

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