Yang Tae-Ki, Kim Chul-Jin
Department of Neurosurgery, Konyang University School of Medicine, Daejeon, Korea.
J Korean Neurosurg Soc. 2009 Nov;46(5):492-4. doi: 10.3340/jkns.2009.46.5.492. Epub 2009 Nov 30.
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.
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。