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大脑中动脉海绵状大动脉瘤在载瘤动脉闭塞后的壁内生长

Intra-mural propagation of a large cavernous internal cerebral artery aneurysm after parent artery sacrifice.

作者信息

Lee Ho-Joon, Suh Sang Hyun, Lee Jae Whan, Kim Dong Ik, Huh Seung Kon, Kim Dong Joon

机构信息

Department of Radiology, Yonsei University College of Medicine, Seodaemoon-gu, Seoul, Korea.

出版信息

Acta Neurochir (Wien). 2009 Apr;151(4):389-92; discussion 392. doi: 10.1007/s00701-009-0243-3. Epub 2009 Mar 7.

DOI:10.1007/s00701-009-0243-3
PMID:19277458
Abstract

The mechanism of aneurysm growth after isolation from the circulation is not well known. We report a case of a woman who presented with mass effects of a large cavernous internal carotid artery (ICA) aneurysm. The parent vessel harboring the aneurysm was sacrificed but the aneurysm continued to enlarge with propagation of the disease along the vessel wall progressively extending to the middle cerebral artery (MCA) leading to ischemic stroke. This case provides imaging evidence of the role of mural inflammation in the development of certain aneurysms.

摘要

动脉瘤与循环系统隔绝后的生长机制尚不清楚。我们报告一例女性患者，其患有巨大海绵窦段颈内动脉（ICA）动脉瘤并出现占位效应。载有动脉瘤的母血管被结扎，但动脉瘤仍继续增大，疾病沿血管壁蔓延，逐渐延伸至大脑中动脉（MCA），导致缺血性卒中。该病例提供了影像学证据，证明壁层炎症在某些动脉瘤发展过程中的作用。

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