Division of Interventional Neuroradiology, Department of Medical Imaging, Prince of Wales Hospital, Randwick, New South Wales 2031, Australia.
J Clin Neurosci. 2010 Apr;17(4):515-7. doi: 10.1016/j.jocn.2009.06.041. Epub 2010 Feb 1.
Traumatic aneurysms of the superior cerebellar artery are rare, especially in children. We report a 3-year-old boy who had a catastrophic delayed rupture of a traumatic aneurysm arising from the superior vermian branch of the left superior cerebellar artery. The aneurysm was likely caused by arterial wall laceration following contusion against the free edge of the tentorium. The aneurysm and the superior vermian artery were successfully embolised endovascularly, but the child never recovered and died 3 days later. The pathogenesis, natural history and treatment options of these aneurysms are discussed.
创伤性小脑上动脉动脉瘤很少见，尤其是在儿童中。我们报告了一例 3 岁男孩，他因左小脑上动脉顶叶分支的创伤性动脉瘤灾难性延迟破裂。动脉瘤可能是由于撞击天幕游离缘后动脉壁撕裂所致。动脉瘤和上蚓动脉成功地进行了血管内栓塞，但患儿始终未恢复并于 3 天后死亡。讨论了这些动脉瘤的发病机制、自然史和治疗选择。
