在烟雾病患者中，对破裂的纹状体动脉动脉瘤进行 Onyx 栓塞。
Onyx embolization of a ruptured lenticulostriate artery aneurysm in a patient with moyamoya disease.
机构信息
Department of Neurosurgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, Pennsylvania, USA.
出版信息
World Neurosurg. 2013 Sep-Oct;80(3-4):436.e7-10. doi: 10.1016/j.wneu.2012.03.030. Epub 2012 Apr 3.
BACKGROUND
Lenticulostriate artery (LSA) aneurysms are uncommon. Most reported cases have been surgically treated. There are only three reports of LSA aneurysms treated with endovascular techniques.
CASE DESCRIPTION
We report the case of a 49-year-old man who presented with a hemorrhage in the basal ganglia. An angiogram revealed a distal LSA aneurysm in the setting of moyamoya disease. The patient's aneurysm was successfully embolized by the use of Onyx 18. In this report, we present the first case of onyx embolization of a LSA aneurysm and review all the previous cases that were managed with endovascular techniques.
CONCLUSION
Treatment of these lesions with either surgery or endovascular therapy is challenging and requires specialized expertise. Given the risks of surgery, we believe that LSA aneurysms are best treated by endovascular means, especially in the setting of moyamoya disease.
背景
纹状体动脉（LSA）动脉瘤并不常见。大多数报道的病例都接受了手术治疗。仅有三例报告称采用血管内技术治疗 LSA 动脉瘤。
病例描述
我们报告了一例 49 岁男性基底节出血的病例。血管造影显示在烟雾病背景下存在 LSA 远端动脉瘤。患者的动脉瘤成功地通过使用 Onyx 18 栓塞。在本报告中，我们介绍了首例使用 Onyx 栓塞 LSA 动脉瘤的病例，并回顾了所有以前采用血管内技术治疗的病例。
结论
这些病变的手术或血管内治疗具有挑战性，需要专业知识。鉴于手术风险，我们认为 LSA 动脉瘤最好通过血管内方法治疗，尤其是在烟雾病的情况下。
Zotero 插件