前颅窝硬脑膜动静脉瘘治疗后与血流相关的眼动脉段动脉瘤自发消退
Spontaneous resolution of a flow-related ophthalmic-segment aneurysm after treatment of anterior cranial fossa dural arteriovenous fistula.
作者信息
Reinard Kevin, Basheer Azam, Pabaney Aqueel, Marin Horia, Malik Ghaus
机构信息
Department of Neurosurgery, Henry Ford Hospital, Detroit, Michigan USA.
Department of Radiology, Henry Ford Hospital, Detroit, Michigan USA.
出版信息
Surg Neurol Int. 2014 Nov 28;5(Suppl 14):S512-5. doi: 10.4103/2152-7806.145669. eCollection 2014.
BACKGROUND
The natural history of proximal, feeding-artery aneurysms after successful obliteration of high-grade, anterior cranial fossa dural arteriovenous fistulas (dAVFs) has not been well documented.
CASE DESCRIPTION
A 52-year-old Caucasian male presented with an unruptured anterior cranial fossa (dAVF) and an associated aneurysm. Cerebral angiography revealed a large, contralateral, carotid-ophthalmic segment aneurysm, enlarged feeding ophthalmic arteries, as well as cortical venous drainage. Successful surgical obliteration of the dAVF was undertaken to eliminate the risk of hemorrhage.
CONCLUSION
The carotid-ophthalmic aneurysm regressed significantly after surgical obliteration of the dAVF and a follow-up, planned coiling procedure to address the carotid-ophthalmic aneurysm was abandoned. This represents the first reported case of a near complete, spontaneous resolution of an unruptured carotid-ophthalmic aneurysm associated with a high-grade anterior cranial fossa dAVF.
背景
在成功闭塞高级别前颅窝硬脑膜动静脉瘘（dAVF）后，近端供血动脉动脉瘤的自然病史尚未得到充分记录。
病例描述
一名52岁的白种男性，患有未破裂的前颅窝dAVF及相关动脉瘤。脑血管造影显示，对侧有一个大型颈内动脉眼动脉段动脉瘤，眼动脉供血增粗，伴有皮质静脉引流。为消除出血风险，成功实施了dAVF手术闭塞。
结论
dAVF手术闭塞后，颈内动脉眼动脉瘤显著缩小，因此放弃了后续计划的针对颈内动脉眼动脉瘤的弹簧圈栓塞治疗。这是首例报道的与高级别前颅窝dAVF相关的未破裂颈内动脉眼动脉瘤近乎完全自发消退的病例。
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