Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013, USA.
Neurosurgery. 2010 Aug;67(2):E518. doi: 10.1227/01.NEU.0000371986.84423.DE.
We report a unique case of a dissecting thrombosed left anterior choroidal aneurysm.
The aneurysm was diagnosed in a pediatric patient who presented with right-sided hemiparesis. Computed tomography, computed tomographic angiography, magnetic resonance imaging, and conventional angiography studies were helpful in diagnosing the aneurysm in this patient. Imaging was consistent with an acute infarct in the left globus pallidus.
An orbitozygomatic craniotomy was performed for surgical clipping of the aneurysm.
This case illustrates the unique appearance of a dissecting aneurysm in the anterior choroidal artery and stresses the importance of recognizing atypical presentations of complex aneurysms in the pediatric population.
我们报告一例独特的左前脉络膜夹层血栓形成动脉瘤。
该动脉瘤诊断于一名出现右侧偏瘫的儿科患者。计算机断层扫描、计算机断层血管造影、磁共振成像和常规血管造影研究有助于诊断该患者的动脉瘤。影像学表现符合左苍白球急性梗死。
行眶颧开颅术，对动脉瘤进行手术夹闭。
本例说明了前脉络膜动脉夹层动脉瘤的独特表现，并强调了在儿科人群中识别复杂动脉瘤非典型表现的重要性。
