血栓化中脑动脉分支动脉瘤的流量转移与缺血性中风相结合:一个案例报告
Chibueze I Agwu1, Rami Z Morsi2, Archit B Baskaran2
1Pritzker School of Medicine, University of Chicago, Chicago, USA.
Cureus
|January 9, 2026
概括
一种罕见的缺血性中风病例是由中脑动脉 (MCA) 动脉瘤与血管内血栓引起的,该病例通过血管内流量转移成功治疗,解决了破裂和血栓栓塞的风险.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性神经辐射学
背景情况:
- 中脑动脉 (MCA) 两叉动脉瘤通常是偶然发生的或伴随着下大脑关节出血.
- 在MCA动脉瘤内自发性细胞内血栓形成的缺血性中风非常罕见.
- 这种陈述造成了管理困境,原因是血栓栓塞和动脉瘤破裂的风险.
研究的目的:
- 报告一种罕见的缺血性中风病例,该病例是中脑动脉动脉瘤中脑内血栓的次要病例.
- 讨论这个特定的临床场景的管理挑战和治疗结果.
- 突出内血管流转移在管理这种复杂病例中的潜在作用.
主要方法:
- 一名68岁的女性吸烟者出现了急性缺血性中风症状.
- 诊断包括磁共振成像 (MRI),计算机断层扫描血管造影和血管壁MRI,以确认血管内血栓和动脉瘤不稳定性.
- 治疗包括通过动脉瘤转移血管内流向上部,再加上双重抗血小板治疗.
主要成果:
- 患者出现左侧MCA综合征和急性心脏病发作.
- 图像检测证实左MCA分支动脉瘤与细胞内血栓和不稳定.
- 血管内流的转移在技术上是成功的,带来了出色的血管造影结果,并且被很好地容忍.
结论:
- 带有缺血性中风的部分血栓形成的MCA动脉瘤的管理具有挑战性.
- 血管内流的转移可能会解决血栓栓塞和破裂的风险,但会带来凝块不稳定的风险.
- 需要多中心数据收集,以确定这种罕见疾病的最佳管理策略.
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