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主动脉缩窄及脊髓内侧支循环导致的自发性蛛网膜下腔出血:一种罕见的表现。

Spontaneous subarachnoid haemorrhage due to coarctation of aorta and intraspinal collaterals: a rare presentation.

作者信息

Devara K V A, Joseph S, Uppu S C

机构信息

Department of Radiology, Medall Healthcare Private Ltd, King George hospital, Visakhapatnam, India.

出版信息

Images Paediatr Cardiol. 2012 Oct;14(4):1-3.

PMID:23720692
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3663148/
Abstract

The occurrence of spontaneous subarachnoid haemorrhage (SAH) in association with coarctation of thoracic aorta and absence of intracranial aneurysm is a rare association. In spontaneous SAH, the predominant cause is intracranial aneurysmal rupture. This report describes a case of a 40 year-old male who presented with SAH and was incidentally diagnosed to have coarctation of aorta (CoA) with intraspinal collaterals on further work up. This case demonstrates the importance of detailed evaluation of patients with spontaneous SAH on whom common aetiologies have been ruled out.

摘要

自发性蛛网膜下腔出血(SAH)合并胸主动脉缩窄且无颅内动脉瘤是一种罕见的关联情况。在自发性SAH中,主要病因是颅内动脉瘤破裂。本报告描述了一例40岁男性患者,该患者表现为SAH,在进一步检查中偶然诊断为主动脉缩窄(CoA)并伴有脊髓侧支循环。该病例表明,对于已排除常见病因的自发性SAH患者进行详细评估的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/3663148/bb367d99ab0e/IPC-14-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/3663148/a78f37d54655/IPC-14-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/3663148/bb367d99ab0e/IPC-14-1-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/3663148/a78f37d54655/IPC-14-1-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e47/3663148/bb367d99ab0e/IPC-14-1-g002.jpg

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本文引用的文献

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Subarachnoid hemorrhage revealing aortic coarctation in a young man.一名年轻男性蛛网膜下腔出血提示主动脉缩窄。
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Coarctation of the aorta presenting as spontaneous subarachnoid haemorrhage in the absence of cerebral aneurysm: a report of a rare clinical entity.主动脉缩窄表现为自发性蛛网膜下腔出血而无脑动脉瘤:一种罕见临床实体的报告。
Heart Lung Circ. 2010 Jul;19(7):432-4. doi: 10.1016/j.hlc.2009.12.007. Epub 2010 Apr 1.
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