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因不可切除的内侧蝶骨嵴脑膜瘤导致的颈内动脉海绵窦段症状性狭窄：血管内支架置入治疗

Symptomatic stenosis of the cavernous portion of the internal carotid artery due to an irresectable medial sphenoid wing meningioma: treatment by endovascular stent placement.

作者信息

Heye S, Maleux G, Van Loon J, Wilms G

机构信息

Department of Radiology, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium.

出版信息

AJNR Am J Neuroradiol. 2006 Aug;27(7):1532-4.

PMID:16908574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7977518/
Abstract

A 48-year-old woman, with right-sided proptosis and decreased visual acuity, presented with acute left sensorimotor deficit. Recent ischemia in the right posterior watershed area was found on CT and MR imaging, as well as a right-sided medial sphenoid wing meningioma causing high-grade stenotic encasement of the cavernous portion of the right internal carotid artery. Because the patient was symptomatic and complete resection of the meningioma was impossible, the stenosis was successfully treated with a balloon-expanding stent.

摘要

一名48岁女性，有右侧眼球突出和视力下降，出现急性左侧感觉运动功能缺损。CT和磁共振成像显示右侧后分水岭区近期有缺血，以及右侧蝶骨嵴内侧脑膜瘤导致右侧颈内动脉海绵窦段严重狭窄包绕。由于患者有症状且无法完全切除脑膜瘤，遂成功用球囊扩张支架治疗了狭窄。

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本文引用的文献

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Large sphenoid wing meningiomas involving the cavernous sinus: conservative surgical strategies for better functional outcomes.累及海绵窦的大型蝶骨嵴脑膜瘤：改善功能预后的保守手术策略
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Endovascular therapy for stenosis of the petrous or cavernous portion of the internal carotid artery: percutaneous transluminal angioplasty compared with stent placement.颈内动脉岩骨段或海绵窦段狭窄的血管内治疗：经皮腔内血管成形术与支架置入术的比较
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Predictability of internal carotid artery (ICA) dissectability in cases showing ICA involvement in parasellar meningioma.显示颈内动脉（ICA）受累的鞍旁脑膜瘤病例中ICA可分离性的可预测性。
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