Magge Suresh N, Chen H Isaac, Stiefel Michael F, Ernst Linda, Cahill Ann Marie, Hurst Robert, Storm Phillip B
Department of Neurosurgery, Children's Hospital of Philadelphia and the Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
J Neurosurg Pediatr. 2008 Jan;1(1):83-7. doi: 10.3171/PED-08/01/083.
The authors report the case of an 18-month-old girl who presented with a ruptured anterior communicating artery aneurysm, and who was later diagnosed with Takayasu arteritis. Her initial aneurysm was successfully treated with clip application. However, over a 6-month period she had multiple ruptures from new and rapidly recurring aneurysms adjacent to the clips. These aneurysms were treated with repeated craniotomy and clip application and then with endovascular coil placement. Aneurysmal subarachnoid hemorrhage is a rare presentation of Takayasu arteritis. To the authors' knowledge, this is the youngest reported patient with Takayasu arteritis to present with a ruptured cerebral aneurysm.
作者报告了一名18个月大女孩的病例，该女孩患有前交通动脉瘤破裂，后来被诊断为高安动脉炎。她最初的动脉瘤通过夹闭术成功治疗。然而，在6个月的时间里，她因夹子附近新出现且迅速复发的动脉瘤多次破裂。这些动脉瘤通过反复开颅夹闭术，然后进行血管内线圈置入治疗。动脉瘤性蛛网膜下腔出血是高安动脉炎的一种罕见表现。据作者所知，这是报道中最年轻的患有高安动脉炎并出现脑动脉瘤破裂的患者。
