Kühn Anna Luisa, Hou Samuel Y, Spilberg Gabriela, Wakhloo Ajay K
New England Center for Stroke Research and Division Neuroimaging and Intervention, Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
J Vasc Interv Neurol. 2014 May;7(1):47-9.
Spontaneous aneurysmal thrombosis as a cause for acute ischemic stroke is a rarely described complication of small unruptured intracranial aneurysms. We present an interesting case of a stroke in a woman with an occult acutely thrombosed middle cerebral artery bifurcation aneurysm that was found during successful thrombus aspiration of the occluded parent vessel. Although rare, small aneurysms have to be considered as a possible cause for a thrombotic vessel occlusion. Catheters and thrombectomy devices have to be used carefully while performing mechanical revascularization.
自发性动脉瘤血栓形成作为急性缺血性卒中的一个病因，是小型未破裂颅内动脉瘤一种鲜有描述的并发症。我们报告了一例有趣的病例，一名女性发生卒中，其大脑中动脉分叉处存在隐匿性急性血栓形成的动脉瘤，该动脉瘤是在对闭塞的供血血管成功进行血栓抽吸时发现的。尽管罕见，但小型动脉瘤必须被视为血栓性血栓性血管闭塞的一个可能病因。在进行机械性血运重建时，必须谨慎使用导管和取栓装置。
