Pritz Michael B
Department of Neurological Surgery, Indiana University School of Medicine, Indianapolis, Indiana 46202-5124, USA.
J Stroke Cerebrovasc Dis. 2008 May-Jun;17(3):158-60. doi: 10.1016/j.jstrokecerebrovasdis.2008.01.013.
A partly thrombosed, saccular, non-giant left internal carotid artery aneurysm was discovered during an evaluation for headaches in a 75-year-old woman. A mirror-image aneurysm of the right internal carotid artery was also found. During the course of about a year, the left-sided aneurysm thrombosed, grew to giant proportions, recanalized, and ruptured. During this same time, the right-sided aneurysm remained unchanged in size or shape. Even a saccular, non-giant, thrombosed aneurysm can be potentially dangerous. Such an aneurysm requires careful monitoring. If clinically appropriate, aneurysm treatment is indicated.
在对一名75岁女性进行头痛评估时，发现了一个部分血栓形成的囊状非巨大型左颈内动脉瘤。同时还发现右侧颈内动脉有一个镜像动脉瘤。在大约一年的时间里，左侧动脉瘤血栓形成，发展为巨大动脉瘤，再通并破裂。在此期间，右侧动脉瘤的大小和形状保持不变。即使是囊状、非巨大、有血栓形成的动脉瘤也可能具有潜在危险。这种动脉瘤需要仔细监测。如果临床情况合适，应进行动脉瘤治疗。
