Bendszus M, Hagel C, Maurer M, Schütz A, Vince G H, Monoranu M C, Solymosi L
Department of Neuroradiology, University of Würzburg, Germany.
AJNR Am J Neuroradiol. 2006 Nov-Dec;27(10):2058-60.
Endovascular treatment of aneurysms has become an alternative to the neurosurgical approach. Here, we describe a patient presenting with a subarachnoid hemorrhage (SAH) due to a basilar tip aneurysm, which was completely occluded with coils. Fourteen days later the patient died due to massive recurrent SAH. Histologic evaluation showed aneurysm rerupture with coil dislocation in the subarachnoid space. This is a rare histologically documented case of fatal recurrent hemorrhage early after coil embolization of cerebral aneurysms.
动脉瘤的血管内治疗已成为神经外科手术方法的一种替代方案。在此，我们描述一名因基底动脉尖动脉瘤导致蛛网膜下腔出血（SAH）的患者，该动脉瘤通过弹簧圈完全闭塞。十四天后，患者因大量复发性SAH死亡。组织学评估显示动脉瘤再次破裂，弹簧圈在蛛网膜下腔移位。这是一例罕见的经组织学证实的脑动脉瘤弹簧圈栓塞术后早期致命性复发性出血病例。
