伴有椎基底动脉延长扩张的大脑后动脉破裂动脉瘤的弹簧圈栓塞术

Coil embolization for a ruptured posterior cerebral artery aneurysm with vertebrobasilar dolichoectasia.

作者信息

Yamaguchi Shinya, Ito Osamu, Maeda Yoshihisa, Murata Hideki, Imamoto Naoyuki, Yuhi Fumiaki, Natori Yoshihiro, Matsukado Koichiro

机构信息

Department of Neurosurgery, Hamanomachi Hospital, Fukuoka, Japan.

出版信息

Neurol Med Chir (Tokyo). 2011;51(9):657-60. doi: 10.2176/nmc.51.657.

DOI:10.2176/nmc.51.657

PMID:21946732

Abstract

A 74-year-old man suffered sudden loss of consciousness at home. Computed tomography revealed severe subarachnoid hemorrhage and an unusual posterior cerebral artery (PCA) aneurysm with vertebrobasilar dolichoectasia (VBD). The aneurysm was located in the right hypothalamus. VBD associated with a distal lesion makes endovascular treatment difficult because of the elongation and tortuosity of the access route. However, endovascular coil embolization was successful for the present ruptured PCA aneurysm with VBD.

摘要

一名74岁男性在家中突然意识丧失。计算机断层扫描显示严重蛛网膜下腔出血以及一个不寻常的伴有椎基底动脉延长扩张（VBD）的大脑后动脉（PCA）动脉瘤。该动脉瘤位于右侧下丘脑。由于入路延长且迂曲，与远端病变相关的VBD使得血管内治疗困难。然而，血管内弹簧圈栓塞术成功治疗了目前破裂的伴有VBD的PCA动脉瘤。