烟雾病相关大脑后动脉瘤的血管内治疗
Endovascular treatment of posterior cerebral aneurysm associated with Moyamoya disease.
作者信息
Nishio A, Hara M, Otsuka Y, Tsuruno T, Murata T
机构信息
Department of Neurosurgery, Osaka City University Medical School, Osaka, Japan.
出版信息
J Neuroradiol. 2004 Jan;31(1):60-2. doi: 10.1016/s0150-9861(04)96879-4.
PURPOSE
A patient with moyamoya disease associated with a ruptured posterior cerebral artery aneurysm treated by endovascular embolization is presented.
CASE REPORT
A 47-year-old woman was admitted with severe headache to our hospital. Computed tomography demonstrated subarachnoid haemorrhage. Cerebral angiography revealed evidence of moyamoya disease and a saccular aneurysm at the P1 segment of the left posterior cerebral artery.
CONCLUSION
Endovascular embolization was performed using Guglielmi detachable coil (GDC), and the aneurysm was completely occluded with preservation of the parent artery. Endovascular treatment using GDC seems comparatively safe and effective for the treatment of cerebral saccular aneurysms in patients with moyamoya disease.
目的
介绍1例采用血管内栓塞治疗的伴有大脑后动脉动脉瘤破裂的烟雾病患者。
病例报告
一名47岁女性因剧烈头痛入住我院。计算机断层扫描显示蛛网膜下腔出血。脑血管造影显示烟雾病证据及左侧大脑后动脉P1段囊状动脉瘤。
结论
使用 Guglielmi 可脱性弹簧圈（GDC）进行血管内栓塞，动脉瘤完全闭塞且载瘤动脉得以保留。对于烟雾病患者的脑囊状动脉瘤，使用GDC进行血管内治疗似乎相对安全有效。
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