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弹簧圈栓塞术后大动脉瘤再生长导致视野缺损。病例报告。

Decrease of Visual Fields Due to Re-growth of a Big Aneurysm after Coiling. A case report.

作者信息

Harsan H, Eka J W, Julius J

机构信息

Neurosurgery Department, Siloam Hospital, Lippo Karawaci, Indonesia - Medical Faculty, Pelita Harapan University, Tangerang, Indonesia -

出版信息

Interv Neuroradiol. 2008 Nov 11;14 Suppl 2(Suppl 2):99-101. doi: 10.1177/15910199080140S218. Epub 2009 Jan 2.

Abstract

We report the case of a 50-year-old man with the chief complaint of narrowing of the visual fields and blurring in his right eye. He had undergone coiling for bilateral aneurysms of the ophthalmic segment of the internal carotid arteries 15 months previously. Angiography showed re-growth of the left ophthalmic aneurysm. The patient underwent clipping and resection the coiled aneurysm. Following surgery his visual fields improved. Therefore, re-growth of aneurysms following coiling sometimes requires resection for decompression.

摘要

我们报告了一例50岁男性患者,其主要症状为视野缩小和右眼视物模糊。该患者15个月前因双侧颈内动脉眼段动脉瘤接受了弹簧圈栓塞治疗。血管造影显示左侧眼动脉瘤复发。患者接受了夹闭和切除已栓塞的动脉瘤手术。术后其视野得到改善。因此,弹簧圈栓塞后动脉瘤复发有时需要进行切除减压手术。

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