“镜像”双侧巨大型：海绵窦内颈内动脉瘤。
"Mirror-image" bilateral giants: intracavernous carotid artery aneurysms.
作者信息
Díaz M B, Mercado F C, Lemme Plaghos L A
机构信息
Healt Sciences University, Barcelò Foundation, La Rioja, Argentina.
出版信息
Interv Neuroradiol. 2006 Sep 15;12(3):251-6. doi: 10.1177/159101990601200308. Epub 2006 Dec 13.
The literature on the incidence of "mirror image" bilateral giant intracavernous aneurysms, their symptoms and their association with other entities is reviewed, with a brief comment on their evolution and treatment. A case of "mirror image" bilateral giant intracavernous aneurysms in a 76-year-old man who presented a sudden diplopia with pupillary sparing is reported. A CT scan showed parasellar images and dolichomega circle of Willis arteries that enhanced with endovenous contrast. MRI and angiography disclose bilateral aneurysms in detail, associated with an anomalous origin of the left common carotid artery and bilateral renal artery stenosis.
本文回顾了关于“镜像”双侧巨大海绵窦内动脉瘤的发病率、症状及其与其他病变的关联的文献，并对其演变和治疗作了简要评论。报告了一例76岁男性的“镜像”双侧巨大海绵窦内动脉瘤病例，该患者突然出现复视且瞳孔未受累。CT扫描显示鞍旁影像以及Willis动脉的迂曲延长，经静脉造影剂增强。MRI和血管造影详细显示了双侧动脉瘤，同时伴有左颈总动脉异常起源和双侧肾动脉狭窄。
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