Li Qiang, Wang Chaohua, Xu Jianguo, You Chao
Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, P. R. China.
Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, P. R. China
J Child Neurol. 2015 Sep;30(10):1354-6. doi: 10.1177/0883073814552105. Epub 2014 Oct 14.
Fusiform dilation of the internal carotid artery complicates aggressive craniopharyngioma resection and occurs mainly in children. We report a case to describe the availability of endovascular treatment for this rare entity. A 13-year-old boy presented with headache for 2 years after resection of craniopharyngioma. A fusiform dilation of the right carotid artery was found and was coiled using stent-assisted technique. Follow-up showed satisfactory outcome and disappearance of headache. To our knowledge, this is the first report regarding endovascular treatment for fusiform dilation of the internal carotid artery after craniopharyngioma resection. Stent-assisted coiling is a useful approach for fusiform dilation of the internal carotid artery following craniopharyngioma surgery.
颈内动脉梭形扩张是侵袭性颅咽管瘤切除术后的并发症，主要发生于儿童。我们报告1例以描述这种罕见疾病的血管内治疗可行性。一名13岁男孩在颅咽管瘤切除术后2年出现头痛。发现右侧颈动脉梭形扩张，并采用支架辅助技术进行了栓塞治疗。随访显示结果满意，头痛消失。据我们所知，这是关于颅咽管瘤切除术后颈内动脉梭形扩张血管内治疗的首例报告。支架辅助栓塞术是颅咽管瘤手术后颈内动脉梭形扩张的一种有效治疗方法。
