远端内动脉伪动脉瘤导致腹腔内血瘤:一个说明案例和系统审查
Kautilya R Patel1, William E Thorell1, Nicholas Borg1
1Department of Neurosurgery, University of Nebraska Medical Center, Clarkson Doctor's Building South, Omaha, Nebraska, United States.
Surgical neurology international
|July 14, 2025
概括
内动脉伪动脉瘤是一种罕见的脑下血液瘤 (SDH) 的原因. 手术和内血管治疗都为伪动脉瘤诱导的SDH患者提供了良好的康复结果.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 远端内动脉伪动脉瘤是造成体内血液瘤 (SDH) 的不常见原因.
- 这项研究回顾了末端内动脉段中伪动脉瘤次要的SDH病例.
研究的目的:
- 要总结当前关于导致SDH的伪动脉瘤的文献.
- 分析这些罕见病例的临床表现,管理和结果.
主要方法:
- 在主要的医学数据库 (EMBASE,MEDLINE,CINAHL,Cochrane,Scopus) 进行系统的文献搜索.
- 提取有关人口统计,临床表现,诊断方法,治疗和结果的数据.
- 包括18个回顾性研究和一个案例报告.
主要成果:
- 分析了21名患者 (平均年龄为49.4岁,男性为80.9%).
- 常见的症状包括半和精神状态变化;52.4%的人有头部创伤史.
- 中脑动脉 (71.4%) 是最常见的伪动脉瘤位置;治疗包括手术 (66.7%) 和内血管 (23.8%),大多数患者康复良好.
结论:
- 远部内动脉的伪动脉瘤是SDH的罕见原因,需要高度怀疑才能诊断.
- 导管血管造影是确定的,但其在SDH中使用的指示仍然不清楚.
- 微手术和内血管治疗都是安全有效的,微手术允许同时进行SDH排水.
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