经血管内栓塞治疗的椎动脉梭形动脉瘤伴发半面痉挛：病例报告
Fusiform aneurysm of the vertebral artery presenting hemifacial spasm treated by intravascular embolization: case report.
作者信息
Sato K, Ezura M, Takahashi A, Yoshimoto T
机构信息
Department of Neuroendovascular Therapy, Kohnan Hospital, Department of Neuroendovascular Therapy, Tohoku University School of Medicine, Tohoku, Japan.
出版信息
Surg Neurol. 2001 Jul;56(1):52-5. doi: 10.1016/s0090-3019(01)00496-7.
BACKGROUND
A rare case of fusiform vertebral artery aneurysm causing hemifacial spasm was successfully treated by intravascular embolization.
CASE DESCRIPTION
A 53-year-old man presented with left hemifacial spasm persisting for 2 years. No other clinical symptoms were observed. Vertebral angiography revealed a fusiform aneurysm of the left vertebral artery, and thin-slice spoiled gradient-recalled acquisition magnetic resonance imaging demonstrated the aneurysm compressing the root exit zone of the left facial nerve. The parent artery was occluded together with the aneurysm by intravascular embolization with Guglielmi detachable coils (GDCs). The patient is free of left hemifacial spasm without any complication.
CONCLUSION
Hemifacial spasm caused by aneurysms, especially fusiform aneurysms, is quite rare but can be treated by parent artery occlusion and coiling the aneurysm with GDCs.
背景
1例由梭形椎动脉动脉瘤引起的半面痉挛患者通过血管内栓塞治疗成功治愈。
病例描述
一名53岁男性，左侧半面痉挛持续2年。未观察到其他临床症状。椎动脉血管造影显示左侧椎动脉梭形动脉瘤，薄层扰相梯度回波磁共振成像显示动脉瘤压迫左侧面神经的神经根出口区。采用 Guglielmi 可解脱弹簧圈（GDC）进行血管内栓塞，将动脉瘤与其供血动脉一并闭塞。患者左侧半面痉挛消失，无任何并发症。
结论
动脉瘤尤其是梭形动脉瘤引起的半面痉挛非常罕见，但可通过闭塞供血动脉并用GDC栓塞动脉瘤进行治疗。
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