婴儿破裂的ACOM动脉瘤用内血管支架线圈栓塞治疗:病例报告
Yigit Can Senol1,2, Halis Emre Ciftci3, Naime Dilara Ozkan3
1Department of Neurologic Surgery, University of California, San Francisco, 513 Parnassus Ave, San Francisco, 94143, USA. Yigitcan.senol@ucsf.edu.
BMC neurology
|August 14, 2025
概括
一个破裂的前沟通动脉 (Acom) 动脉瘤导致15个月大的婴儿脑出血和发作. 内血管支架线圈成功治疗了动脉瘤,导致完全康复,没有神经缺陷.
科学领域:
- 儿科神经学 儿科神经学
- 血管神经外科 血管神经外科
- 神经辐射学神经辐射学
背景情况:
- 婴儿的内出血可以由各种因素引起,包括血管异常.
- 破裂的大脑动脉瘤在儿科患者中很少见,但可能导致严重的神经后果.
研究的目的:
- 报告一个罕见的15个月大的婴儿前部沟通动脉动脉瘤破裂的罕见病例,呈现出内出血和发作.
- 为了突出成功的内血管管理这种情况.
主要方法:
- 一名患有急性神经症状的15个月大的婴儿接受了诊断成像,包括CT血管造影 (CTA) 和诊断血管造影.
- 进行了内血管支架线圈,以治疗破裂的动脉瘤.
- 进行了随访磁共振血管造影 (MRA).
主要成果:
- 图像检测显示左侧前基区域的内出血延伸到心室,有破裂的Acom动脉瘤的证据.
- 血管内支架线圈在没有血液瘤疏散的情况下进行.
- 在1年的随访中,患者表现出症状改善,没有神经系统的后果,MRA证实没有残留动脉瘤填充.
结论:
- 破裂的Acom动脉瘤,虽然在婴儿中很少见,但可以出现毁灭性的内出血和发作.
- 血管内支架线圈是儿科Acom动脉瘤的可行和有效的治疗选择,导致有利的结果.
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