Norris Scott A, Derdeyn Colin P, Perlmutter Joel S
Department of Neurology, Washington University School of Medicine, St. Louis, MO.
Department of Neurological Surgery, Washington University School of Medicine, St. Louis, MO.
J Neuroimaging. 2015 Mar-Apr;25(2):316-318. doi: 10.1111/jon.12117. Epub 2014 Apr 7.
An 80-year-old woman with longstanding hemifacial spasm had a 1 cm × 1.5 cm internal carotid artery terminus aneurysm treated with endovascularly delivered bare metal coils. Follow-up imaging revealed an expansile perianeurysmal cyst that coincided with development of contralateral dopa-responsive hemiparkinsonism. This is the first report of perianeurysmal cyst expansion causing levodopa-responsive hemiparkinsonism.
一名患有长期半面痉挛的80岁女性,其颈内动脉末端有一个1厘米×1.5厘米的动脉瘤,采用血管内裸金属线圈治疗。随访影像显示动脉瘤周围出现一个扩张性囊肿,同时对侧出现左旋多巴反应性偏侧帕金森综合征。这是关于动脉瘤周围囊肿扩张导致左旋多巴反应性偏侧帕金森综合征的首例报告。