Cohen José E, Itshayek Eyal, Gomori John Moshe, Grigoriadis Savvas, Raphaeli Guy, Spektor Sergei, Rajz Gustavo
Department of Neurosurgery, Hadassah Hebrew University Hospital, Jerusalem, Israel; Department of Radiology, Hadassah Hebrew University Hospital, Jerusalem, Israel.
J Neurol Sci. 2007 Mar 15;254(1-2):95-8. doi: 10.1016/j.jns.2006.12.008. Epub 2007 Jan 26.
Complete spontaneous thrombosis of an unruptured cerebral aneurysm is a rare event that can be discovered incidentally on advanced neuroradiologic studies. Occasionally, this phenomenon may be symptomatic and can present as an ischemic stroke. The presumed mechanism is probably due to extension of the thrombi to the parent vessel, embolization of intra-aneurysmatic thrombi to distal arteries or arterial compression due to increased aneurysm mass effect. We present documented cases of this unusual entity and review the literature.
未破裂脑动脉瘤的完全自发性血栓形成是一种罕见事件,可在先进的神经放射学检查中偶然发现。偶尔,这种现象可能有症状,表现为缺血性中风。推测其机制可能是血栓延伸至供血血管、动脉瘤内血栓栓塞至远端动脉或由于动脉瘤质量效应增加导致动脉受压。我们展示了这一罕见实体的记录病例并回顾了相关文献。