Department of Neurosurgery, Guangdong General Hospital, Neuroscience Institute, Guangdong Academy of Medical Sciences, 106 Zhangshan Er Road, Guangzhou 510080, China.
Department of Neurosurgery, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
J Clin Neurosci. 2014 Jan;21(1):163-5. doi: 10.1016/j.jocn.2012.10.043. Epub 2013 Jul 8.
Endovascular embolization has become an important treatment option for cerebral aneurysms, along with surgical clipping. But few literatures mentioned infectious complications after coiling of aneurysms. We present a patient with a brain abscess that developed after endosaccular embolization of a left middle cerebral artery aneurysm. The brain abscess was located adjacent to the aneurysm and discovered more than 2 months after embolization. We discuss the clinical implications of this rare complication and review the literature for infections related to the coils used for embolization of aneurysms.
血管内栓塞治疗已成为颅内动脉瘤的重要治疗选择,与手术夹闭一样。但很少有文献提到血管内弹簧圈栓塞后会发生感染性并发症。我们报告了一例左大脑中动脉动脉瘤血管内弹簧圈栓塞后发生脑脓肿的患者。脑脓肿位于动脉瘤附近,在栓塞后 2 个多月发现。我们讨论了这种罕见并发症的临床意义,并对与动脉瘤栓塞用弹簧圈相关的感染进行了文献复习。