Vellore Yagnesh, Madan Anoop, Hwang Peter Yin Kai
Department of Neurosurgery, The Alfred Hospital, Melbourne, Victoria, Australia.
Department of Radiology, The Alfred Hospital, Melbourne, Victoria, Australia.
Asian J Neurosurg. 2014 Oct-Dec;9(4):244. doi: 10.4103/1793-5482.146658.
True Recurrent artery of Heubner (RAH) aneurysms are extremely rare and only three cases have been reported in the literature. We report a case of RAH aneurysm in a patient with World Federation of Neurosurgical Societies grade one subarachnoid hemorrhage (SAH), detected only on delayed cerebral angiography. We propose that an aneurysm in this location should be considered in the differential diagnosis of angiogram-negative SAH, and all vascular imaging studies be carefully scrutinized for RAH aneurysm.
真正的Heubner回返动脉（RAH）动脉瘤极为罕见，文献中仅报道过3例。我们报告1例患有世界神经外科协会联盟一级蛛网膜下腔出血（SAH）的患者发生RAH动脉瘤，仅在延迟脑血管造影时才被发现。我们建议，在血管造影阴性SAH的鉴别诊断中应考虑该部位的动脉瘤，并且应对所有血管成像研究进行仔细检查以排查RAH动脉瘤。
