Sakai Kyoji, Mizumatsu Shinichiro, Terasaka Kaoru, Sugatani Hiroshi, Higashi Toru
Department of Neurosurgery, Himeji Central Hospital, Hyogo, Japan.
Neurol Med Chir (Tokyo). 2005 Nov;45(11):574-7. doi: 10.2176/nmc.45.574.
A previously healthy 61-year-old man presented with basal ganglia hemorrhage caused by rupture of a small aneurysm arising from the distal lenticulostriate artery associated with moyamoya-like disease and manifesting as left hemiparesis and dysarthria. The patient underwent frontotemporal craniotomy. Neck clipping of the aneurysm was performed through the hematoma cavity. He was transferred for rehabilitation with left hemiparesis. Three-dimensional computed tomography angiography was very useful for preoperative planning and evaluation of the anatomical correlation between the aneurysm and the hemorrhage.
一名61岁既往健康的男性，因起源于豆纹动脉远端的一个小动脉瘤破裂导致基底节区出血，该动脉瘤与烟雾病样疾病相关，表现为左侧偏瘫和构音障碍。患者接受了额颞开颅手术。通过血肿腔对动脉瘤进行了颈部夹闭。他因左侧偏瘫被转至康复科。三维计算机断层血管造影术对术前规划以及评估动脉瘤与出血之间的解剖学关联非常有用。
