属于过渡型大脑后动脉的破裂后交通动脉瘤弹簧圈栓塞术后丘脑结节动脉梗死。病例报告。
Tuberothalamic artery infarction following coil embolization of a ruptured posterior communicating artery aneurysm belonging to a transitional type posterior cerebral artery. A case report.
作者信息
Lee Kyeong Duk, Kwon Soon Chan, Muniandy Sarawana, Park Eun Suk, Sim Hong Bo, Lyo In Uk
机构信息
Department of Neurosurgery, Ulsan University Hospital, University of Ulsan College of Medicine; Ulsan, Korea - E-mail:
出版信息
Interv Neuroradiol. 2013 Sep;19(3):306-12. doi: 10.1177/159101991301900307. Epub 2013 Sep 26.
Abstract
There are many potential anatomical variations in the connection between the internal carotid artery and the posterior circulation through the posterior communicating artery (PCoA). We describe the endovascular treatment of an aneurysm arising near the origin of the PCoA belonging to a transitional type posterior cerebral artery. Coil embolization subsequently resulted in thrombo-occlusion of the adjacent PCoA causing thalamic infarction even though sufficient retrograde flow had been confirmed pre-operatively by Allcock's test.
摘要
颈内动脉通过后交通动脉（PCoA）与后循环之间的连接存在许多潜在的解剖变异。我们描述了一例起源于属于过渡型大脑后动脉的PCoA起始部附近的动脉瘤的血管内治疗。尽管术前通过奥尔科克试验已确认有足够的逆行血流，但弹簧圈栓塞随后导致相邻PCoA血栓形成闭塞，引起丘脑梗死。
相似文献
1
Tuberothalamic artery infarction following coil embolization of a ruptured posterior communicating artery aneurysm belonging to a transitional type posterior cerebral artery. A case report.属于过渡型大脑后动脉的破裂后交通动脉瘤弹簧圈栓塞术后丘脑结节动脉梗死。病例报告。
Interv Neuroradiol. 2013 Sep;19(3):306-12. doi: 10.1177/159101991301900307. Epub 2013 Sep 26.
2
Tuberothalamic artery infarctions following coil embolization of ruptured posterior communicating artery aneurysms with posterior communicating artery sacrifice.破裂的后交通动脉瘤采用后交通动脉牺牲技术进行线圈栓塞后发生丘脑穿通动脉梗死。
AJNR Am J Neuroradiol. 2012 Mar;33(3):500-6. doi: 10.3174/ajnr.A2828. Epub 2011 Dec 22.
3
Aneurysms of the communicating segment of the internal carotid artery with posterior communicating artery agenesis are associated with perforator infarction after embolization.颈内动脉交通段动脉瘤伴后交通动脉发育不良行栓塞治疗后易并发穿支动脉梗死。
J Neurointerv Surg. 2021 Apr;13(4):347-352. doi: 10.1136/neurintsurg-2020-016083. Epub 2020 Jun 16.
4
Impact of Right-Sided Aneurysm, Rupture Status, and Size of Aneurysm on Perforator Infarction Following Microsurgical Clipping of Posterior Communicating Artery Aneurysms with a Distal Transsylvian Approach.右侧动脉瘤、破裂状态及动脉瘤大小对采用经侧裂远端入路显微夹闭后交通动脉瘤后穿支梗死的影响
World Neurosurg. 2018 Mar;111:e905-e911. doi: 10.1016/j.wneu.2018.01.002. Epub 2018 Jan 8.
5
Causes of early rebleeding after coil embolization of ruptured cerebral aneurysms.破裂脑动脉瘤弹簧圈栓塞术后早期再出血的原因。
Clin Neurol Neurosurg. 2018 Nov;174:108-116. doi: 10.1016/j.clineuro.2018.09.006. Epub 2018 Sep 5.
6
Patient Outcomes and Cerebral Infarction after Ruptured Anterior Communicating Artery Aneurysm Treatment.患者结局与破裂前交通动脉瘤治疗后的脑梗死。
AJNR Am J Neuroradiol. 2017 Nov;38(11):2119-2125. doi: 10.3174/ajnr.A5355. Epub 2017 Sep 7.
7
Patency of anterior circulation branch vessels after Pipeline embolization: longer-term results from 82 aneurysm cases.Pipeline 栓塞后前循环分支血管通畅性：82 例动脉瘤的长期结果。
J Neurosurg. 2017 Apr;126(4):1064-1069. doi: 10.3171/2016.4.JNS16147. Epub 2016 Jun 10.
8
Parent artery occlusion for ruptured "true" posterior communicating artery aneurysm.破裂的“真性”后交通动脉瘤的载瘤动脉闭塞术
Interv Neuroradiol. 2015 Apr;21(2):171-4. doi: 10.1177/1591019915583000. Epub 2015 May 7.
9
Isolated abducens nerve palsy associated with subarachnoid hemorrhage: a localizing sign of ruptured posterior inferior cerebellar artery aneurysms.孤立性展神经麻痹伴发蛛网膜下腔出血：提示后下小脑动脉破裂动脉瘤的定位体征。
J Neurosurg. 2018 Jun;128(6):1830-1838. doi: 10.3171/2017.2.JNS162951. Epub 2017 Sep 1.
10
Microcatheter neck bridging and incorporated branch vessel protection for coil embolization of a wide-neck ruptured aneurysm: technical case report.微导管颈桥接联合分支血管保护技术在宽颈破裂动脉瘤弹簧圈栓塞中的应用：技术病例报告。
Neurosurgery. 2011 Mar;68(1 Suppl Operative):40-3; discussion 43-4. doi: 10.1227/NEU.0b013e318207819f.
引用本文的文献
1
Transvenous embolization of a ruptured thalamic arteriovenous malformation supplied by the tuberothalamic artery.经静脉栓塞由丘脑结节动脉供血的破裂丘脑动静脉畸形。
Surg Neurol Int. 2023 Jan 27;14:36. doi: 10.25259/SNI_1017_2022. eCollection 2023.
2
Clinical features and outcomes of PComA aneurysms originating from fetal posterior communicating arteries in a single institution.单中心中起源于胎儿后交通动脉的后交通动脉瘤的临床特征与转归
Chin Neurosurg J. 2020 Jul 1;6:23. doi: 10.1186/s41016-020-00200-6. eCollection 2020.
3
Endovascular strategies for treatment of posterior communicating artery aneurysm according to angiographic architecture: Preservation vs. sacrifice of posterior communication artery.根据血管造影结构采用血管内策略治疗后交通动脉瘤：后交通动脉的保留与牺牲
Interv Neuroradiol. 2017 Dec;23(6):620-627. doi: 10.1177/1591019917726092. Epub 2017 Aug 20.
4
Pure posterior communicating artery occlusion treated with mechanical thrombectomy.采用机械取栓术治疗单纯性后交通动脉闭塞。
BMJ Case Rep. 2017 May 27;2017:bcr-2017-219589. doi: 10.1136/bcr-2017-219589.
本文引用的文献
1
Tuberothalamic artery infarctions following coil embolization of ruptured posterior communicating artery aneurysms with posterior communicating artery sacrifice.破裂的后交通动脉瘤采用后交通动脉牺牲技术进行线圈栓塞后发生丘脑穿通动脉梗死。
AJNR Am J Neuroradiol. 2012 Mar;33(3):500-6. doi: 10.3174/ajnr.A2828. Epub 2011 Dec 22.
2
The perforator-free zone of the posterior communicating artery and its relevance in approaches to the interpeduncular cistern, especially the transcavernous approach: an anatomic study.后交通动脉无穿支区及其在脚间池入路尤其是经海绵窦入路中的相关性：一项解剖学研究
Neurosurgery. 2007 Nov;61(5 Suppl 2):187-91; discussion 191-2. doi: 10.1227/01.neu.0000303216.53607.90.
3
The fetal variant of the circle of Willis and its influence on the cerebral collateral circulation.大脑 Willis 环的胎儿变异型及其对脑侧支循环的影响。
Cerebrovasc Dis. 2006;22(4):217-24. doi: 10.1159/000094007. Epub 2006 Jun 20.
4
Microanatomical bases for intraoperative division of the posterior communicating artery.
Acta Neurochir (Wien). 2002 Nov;144(11):1205-11. doi: 10.1007/s00701-002-1002-x.
5
Magnetic resonance angiographic evidence of sex-linked variations in the circle of willis and the occurrence of cerebral aneurysms.Willis环性别相关变异及脑动脉瘤发生的磁共振血管造影证据
J Neurosurg. 2002 Apr;96(4):697-703. doi: 10.3171/jns.2002.96.4.0697.
6
The radiology and embryology of anomalous arteries of the head and neck.
AJR Am J Roentgenol. 1998 Jan;170(1):197-203. doi: 10.2214/ajr.170.1.9423632.
7
Anomalies of the posterior communicating artery and their potential clinical significance.后交通动脉异常及其潜在的临床意义。
J Neurosurg. 1984 Mar;60(3):572-6. doi: 10.3171/jns.1984.60.3.0572.
8
The syndrome of unilateral tuberothalamic artery territory infarction.单侧丘脑结节动脉供血区梗死综合征
Stroke. 1986 May-Jun;17(3):434-41. doi: 10.1161/01.str.17.3.434.
9
Microsurgical anatomy of the upper basilar artery and the posterior circle of Willis.基底动脉上段及 Willis 环后部的显微外科解剖
J Neurosurg. 1977 May;46(5):563-78. doi: 10.3171/jns.1977.46.5.0563.
10
Giant intracranial aneurysms: experience with surgical treatment in 174 patients.巨大颅内动脉瘤：174例手术治疗经验
Clin Neurosurg. 1979;26:12-95. doi: 10.1093/neurosurgery/26.cn_suppl_1.12.
Zotero 插件