Jaskólski D J, Zawirski M, Jakubowski J
Katedry i Kliniki Neurochirurgii AM, Lodzi.
Neurol Neurochir Pol. 1992;Suppl 1:44-9.
The authors discuss the clinical usefulness of CT scan in patients with ruptured posterior fossa aneurysms. Among 164 patients after SAH, in 17 the bleeding was caused by aneurysms located in posterior fossa. The exact diagnosis of the bleeding during 5 days after SAH was possible in 94% of the patients, that is similar as in supratentorial aneurysms. The characteristic symptoms of SAH in these aneurysms was the symmetric presence of blood in basal cisterns, intraventricular haemorrhage and, in consequence,--hydrocephalus. Aneurysms of bifurcation of BA were characterized by presence of blood in interpeduncular cistern; this phenomenon was not observed in PICA aneurysms. The aneurysms of BA were more often seen in direct CT-Scan.
作者讨论了CT扫描在破裂后颅窝动脉瘤患者中的临床应用价值。在164例蛛网膜下腔出血(SAH)患者中,17例出血是由位于后颅窝的动脉瘤引起的。SAH后5天内,94%的患者能够准确诊断出血情况,这与幕上动脉瘤相似。这些动脉瘤引起SAH的特征性症状是基底池内血液对称出现、脑室内出血以及随之而来的脑积水。基底动脉(BA)分叉处的动脉瘤表现为脚间池内有血液;这种现象在小脑后下动脉(PICA)动脉瘤中未观察到。直接CT扫描中更常发现BA的动脉瘤。