Burrows Anthony M, Zipfel Gregory, Lanzino Giuseppe
Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota, USA.
BMJ Case Rep. 2012 Nov 15;2012:bcr2012010478. doi: 10.1136/bcr-2012-010478.
Pediatric patients with aneurysm often have different localizations and morphologies from adults and recurrences are not uncommon after successful clip reconstruction/obliteration. Treatment of a recurrent pediatric aneurysm after clip ligation is a technical challenge. We present the case of an adolescent with a middle cerebral artery (MCA) fusiform aneurysm which recurred following clip reconstruction and bypass. The aneurysm was successfully treated with endovascular flow diversion.
小儿动脉瘤患者的动脉瘤位置和形态往往与成人不同,成功夹闭重建/消除后复发并不罕见。夹闭结扎后复发性小儿动脉瘤的治疗是一项技术挑战。我们报告一例青少年大脑中动脉(MCA)梭形动脉瘤病例,该动脉瘤在夹闭重建和搭桥术后复发。该动脉瘤通过血管内血流导向成功治疗。