Ohba Shigeo, Kuroshima Yoshiaki, Mayanagi Keita, Inamasu Joji, Saito Ryoichi, Nakamura Yoshiki, Ichikizaki Kiyoshi
Department of Neurosurgery, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan.
Neurol Med Chir (Tokyo). 2009 Dec;49(12):587-9. doi: 10.2176/nmc.49.587.
A 23-year-old male was admitted after a motor vehicle accident with acute epidural hematoma, diffuse subarachnoid hemorrhage (SAH) in the basal cistern, and fractures at the anterior cranial base. Angiography revealed an aneurysm of the right supraclinoid internal carotid artery (ICA). His consciousness suddenly worsened on the 23rd day. Expansion of the SAH in the basal cistern and two hump aneurysms were detected. He underwent endovascular embolization of these aneurysms and the right ICA with Guglielmi detachable coil. Traumatic aneurysms are difficult to diagnose in the early period after injury and are associated with a high mortality. Endovascular treatments for traumatic aneurysms have lower mortality rate, and can be performed under local anesthesia.
一名23岁男性在机动车事故后入院，诊断为急性硬膜外血肿、基底池弥漫性蛛网膜下腔出血（SAH）以及前颅底骨折。血管造影显示右侧床突上段颈内动脉（ICA）存在动脉瘤。在第23天时，他的意识突然恶化。检查发现基底池SAH范围扩大以及两个驼峰状动脉瘤。他接受了使用 Guglielmi 可脱性弹簧圈对这些动脉瘤及右侧ICA进行的血管内栓塞治疗。创伤性动脉瘤在损伤后的早期难以诊断，且死亡率很高。对创伤性动脉瘤进行血管内治疗死亡率较低，并且可以在局部麻醉下进行。
