Juszkat Robert, Jończyk-Potoczna Katarzyna, Stanisławska Katarzyna, Bartkowska-Śniatkowska Alicja, Rosada-Kurasińska Jowita, Liebert Włodziemierz, Moskal Jakub
Department of General and Interventional Radiology, Poznań University of Medical Sciences, Poznań, Poland.
Department of Pediatric Anesthesiology and Intensive Therapy, Poznań University of Medical Sciences, Poznań, Poland.
Pol J Radiol. 2015 Jan 4;80:10-2. doi: 10.12659/PJR.891344. eCollection 2015.
The occurence of aneurysms in young patients, under 18 years of age, is estimated at 0.5-2% of all diagnosed aneurysms.
We reported on a case of a 16-year-old patient with subarachnoid hemorrhage diagnosed due to a ruptured cerebral vessel aneurysm. The angio-CT revealed an aneurysm of the middle cerebral artery, in its distal branch. An ad hoc coil embolization was performed with angiographic success. After 6 months following the ictus, the patient underwent a control angiography which confirmed total occlusion of the aneurysm with no residual inflow. Clinical examination revealed no neurological deficits and the patient was rated 0 in mRS (modified Rankin Scale).
In experienced departments of interventional neuroradiology the endovascular treatment should be the treatment of choice.
18岁以下年轻患者中动脉瘤的发生率估计占所有确诊动脉瘤的0.5%-2%。
我们报告了一例16岁因脑动脉瘤破裂导致蛛网膜下腔出血的患者。血管造影CT显示大脑中动脉远端分支有一个动脉瘤。进行了临时弹簧圈栓塞，血管造影显示成功。发病6个月后，患者接受了对照血管造影，证实动脉瘤完全闭塞，无残余血流。临床检查未发现神经功能缺损，患者改良Rankin量表（mRS）评分为0分。
在有经验的介入神经放射科，血管内治疗应作为首选治疗方法。
