动脉瘤与"良性"周围大脑脑下大脑下垂体出血
Anas Alrohimi1,2, Mark A Davison1, Abhi Pandhi1
1Cerebrovascular Center Neurologic Institute Cleveland Clinic Foundation Cleveland OH United States.
Stroke (Hoboken, N.J.)
|January 26, 2026
概括
在6.2%的病例中,围脑脑下arachnoid出血可能涉及破裂动脉瘤,通常通过脑血管学检测出来. 潜在的动脉瘤,水头和症状性血管与较差的结果有关.
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:
- 周脑下关节出血 (PSAH) 通常被认为是良性的,但对潜在的破裂动脉瘤和并发症的数据有限.
- 了解这些因素对于优化患者管理和结果至关重要.
研究的目的:
- 调查PSAH中潜在破裂动脉瘤的发生率.
- 识别常见的并发症及其与患者结果的关联.
- 评估PSAH中水和血管的临床意义.
主要方法:
- 在2007年至2022年间诊断出PSAH的81名患者的回顾性分析.
- 对诊断成像的审查,包括计算机断层扫描血管造影和数字减去血管造影.
- 评估诸如血管和水头等并发症.
- 使用修改的兰金尺度对功能状态的评估.
主要成果:
- 在6.2%的患者中发现了潜在的破裂动脉瘤,其中3.7%需要脑血管学检测.
- 血管发生在31%的患者中,主要无症状 (84%). 症状性血管在动脉瘤患者中更频繁 (40%vs2.6%).
- 水脑发生在10%的患者身上,所有患者都发生在24小时内. 功能状况差 (修改的兰金尺度0-2) 与潜在的动脉瘤,脑水和症状性血管有关.
结论:
- 在很少的病例中,PSAH与潜在的动脉瘤有关,需要进行彻底的血管学评估.
- 水脑和症状性血管是不良结果的重要预测因素.
- 没有脑症的非动脉瘤PSAH可能允许不那么密集的监测和更短的住院时间.
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