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颅内动脉瘤完全闭塞后复发性蛛网膜下腔出血。

Recurrent subarachnoid hemorrhage after complete obliteration of intracranial aneurysm.

作者信息

Yang Tae-Ki, Kim Chul-Jin

机构信息

Department of Neurosurgery, Konyang University School of Medicine, Daejeon, Korea.

出版信息

J Korean Neurosurg Soc. 2009 Nov;46(5):492-4. doi: 10.3340/jkns.2009.46.5.492. Epub 2009 Nov 30.

DOI:10.3340/jkns.2009.46.5.492
PMID:20041062
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2796358/
Abstract

The authors report a case of recurrent subarachnoid hemorrhage (SAH) after complete occlusion of an intracranial aneurysm. It is known that regrowth of an aneurysm after the complete clipping is a rare event. For detection of recurrence, however, it may be necessary to follow up with the patient regularly after the initial operation for intracranial aneurysms, because re-rupture of an aneurysm can cause a fatal result, and the cumulative risk of a recurrent SAH is thought to be not low over time.

摘要

作者报告了1例颅内动脉瘤完全闭塞后复发性蛛网膜下腔出血(SAH)的病例。已知颅内动脉瘤完全夹闭后再生长是一种罕见事件。然而,为了检测复发情况,在初次颅内动脉瘤手术后对患者进行定期随访可能是必要的,因为动脉瘤再次破裂可导致致命后果,而且随着时间推移,复发性SAH的累积风险被认为不低。

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本文引用的文献

1
Late recurrence of subarachnoid hemorrhage after treatment for ruptured aneurysms: patient characteristics and outcomes.破裂动脉瘤治疗后蛛网膜下腔出血的晚期复发:患者特征与预后
Neurosurgery. 2005 Feb;56(2):197-204; discussion 197-204. doi: 10.1227/01.neu.0000148894.32031.39.
2
Recurrent hemorrhage after initially complete occlusion of intracranial aneurysms.颅内动脉瘤最初完全闭塞后复发出血。
Neurosurg Rev. 2003 Oct;26(4):269-74. doi: 10.1007/s10143-003-0285-6. Epub 2003 Jun 11.
3
Late recurrence of subarachnoid hemorrhage due to regrowth of aneurysm after neck clipping surgery.颈部夹闭手术后动脉瘤再生长导致蛛网膜下腔出血的晚期复发
Neurol Med Chir (Tokyo). 2002 Nov;42(11):496-500. doi: 10.2176/nmc.42.496.
4
Risk of aneurysm recurrence in patients with clipped cerebral aneurysms: results of long-term follow-up angiography.夹闭性脑动脉瘤患者动脉瘤复发的风险:长期随访血管造影结果
Stroke. 2001 May;32(5):1191-4. doi: 10.1161/01.str.32.5.1191.
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Cerebrovasc Dis. 2000 Jul-Aug;10(4):255-60. doi: 10.1159/000016067.
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Late angiographic follow-up review of surgically treated aneurysms.手术治疗动脉瘤的血管造影晚期随访复查
J Neurosurg. 1999 Sep;91(3):396-401. doi: 10.3171/jns.1999.91.3.0396.
7
Risk of recurrent subarachnoid hemorrhage after complete obliteration of cerebral aneurysms.脑动脉瘤完全闭塞后复发性蛛网膜下腔出血的风险。
Stroke. 1998 Dec;29(12):2511-3. doi: 10.1161/01.str.29.12.2511.
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Clinical analysis of recurrent subarachnoid hemorrhage after neck clipping surgery.
Neurol Med Chir (Tokyo). 1997 May;37(5):380-5; discussion 385-6. doi: 10.2176/nmc.37.380.
9
Clinical studies of de novo aneurysms.新发动脉瘤的临床研究。
Neurosurgery. 1993 Apr;32(4):512-6; discussion 516-7. doi: 10.1227/00006123-199304000-00004.
10
Recurrence of ICA-PCoA aneurysms after neck clipping.颈内动脉-后交通动脉瘤夹闭术后复发
J Neurosurg. 1994 Jan;80(1):58-63. doi: 10.3171/jns.1994.80.1.0058.