伪动脉瘤作为立体脑电图的并发症:病例系列和临床建议
Youssra El Khou1,2,3, Rick H G J van Lanen3,4, G Louis Wagner5
1Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands.
Epilepsia
|December 5, 2025
概括
阳性伪动脉瘤是一种罕见但严重的并发症 立体脑电图 (sEEG) 在手术患者. 使用CTA和DSA的早期检测和干预对于管理这些出血至关重要.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 立体电脑电图 (sEEG) 对于抗药性 (DRE) 手术规划至关重要.
- 内出血是sEEG已知的并发症,伪动脉瘤是罕见的原因.
研究的目的:
- 为了描述发生率,临床特征,并管理seEEG.EEG后的阳性神经动脉瘤.
- 评估sEEG后伪动脉瘤患者的临床结果.
主要方法:
- 对395名患者 (4067个电极) 的回顾性分析,这些患者接受了DRE的sEEG.
- 对六名患有伪动脉瘤的患者进行了详细的分析,重点是检测,特征,管理和结果.
主要成果:
- 发生了六种症状性催血性伪动脉瘤 (1.5%),所有这些都位于中脑动脉分支附近,呈出血形式.
- 伪动脉瘤通过CTA和DSA检测到,通过剪切或栓塞成功治疗.
- 由于神经症状,四名患者需要长时间住院和康复治疗.
结论:
- 脑电图后的伪动脉瘤是一种严重的并发症,需要及时检测和干预.
- 对于疑似伪动脉瘤,特别是在电极附近出血时,建议使用CTA和DSA.
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