Kim In-Young, Kim Tae-Sun, Lee Je-Hyuk, Lee Min-Cheol, Lee Jung-Kil, Jung Shin
Brain Tumor Clinic and Gamma Knife Center, Department of Neurosurgery, Chonnam National University Hwasun Hospital, Cholanamdo, Korea.
J Clin Neurosci. 2005 Jun;12(5):585-8. doi: 10.1016/j.jocn.2004.07.018.
A 69-year old man presented with a subarachnoid hemorrhage associated with a large intracerebral hematoma in the right temporal lobe. The oblique views of cranio-orbital computerized tomographic angiography (CTA) were suspicious for an aneurysm on a middle cerebral artery branch. At surgery, a cystic mass was found in the Sylvian fissure, associated with an aneurysm on a distal branch of the anterior temporal artery. The aneurysm was not situated at a bifurcation of the artery and was located beneath the cyst. It was secured by trapping. Pathological examination revealed that the cystic lesion was neurocysticercosis and that the aneurysm was inflammatory. We report a ruptured inflammatory aneurysm of a distal branch of the anterior temporal artery associated with neurocysticercosis, and present the histological findings. We believe this is the first report of such an inflammatory aneurysm with histological confirmation.
一名69岁男性因蛛网膜下腔出血伴右侧颞叶巨大脑内血肿就诊。颅眶计算机断层血管造影（CTA）的斜位片怀疑大脑中动脉分支有动脉瘤。手术中，在外侧裂发现一个囊性肿块，伴有颞前动脉远端分支的动脉瘤。动脉瘤不在动脉分叉处，位于囊肿下方。通过圈套术将其固定。病理检查显示囊性病变为神经囊尾蚴病，动脉瘤为炎症性。我们报告一例与神经囊尾蚴病相关的颞前动脉远端分支破裂性炎症性动脉瘤，并展示组织学结果。我们认为这是首例经组织学证实的此类炎症性动脉瘤报告。
