处理梭形基底动脉动脉瘤的挑战：从急性缺血性卒中到大量蛛网膜下腔出血。

The challenge of managing fusiform basilar artery aneurysms: from acute ischemic stroke to a massive subarachnoid hemorrhage.

作者信息

Bezerra Sofia, Casaroto Eduardo, Bueno Alves Monique, Ierardi Goulart Leonardo, Annes Marcelo, Sampaio Silva Gisele

机构信息

Department of Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, Federal University of São Paulo, São Paulo, Brazil.

出版信息

Case Rep Neurol. 2011 Feb 21;3(1):50-3. doi: 10.1159/000324825.

DOI:10.1159/000324825

PMID:21490713

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3072194/

Abstract

We present the case of a patient with acute brain stem ischemic stroke who was found to have a fusiform basilar aneurysm with a thrombus within the dilated vessel. Three days after the ischemic stroke, the patient had a massive subarachnoid hemorrhage and died. This case illustrates the difficulties in the acute management of ischemic events in patients with basilar fusiform aneurysms, because the natural history of this disease encompasses both bleeding and thrombosis.

摘要

我们报告一例急性脑干缺血性卒中患者，该患者在扩张血管内发现梭形基底动脉瘤并伴有血栓形成。缺血性卒中三天后，患者发生大量蛛网膜下腔出血并死亡。该病例说明了基底梭形动脉瘤患者缺血事件急性处理的困难，因为这种疾病的自然病程包括出血和血栓形成。