与颅内动脉瘤蛛网膜下腔出血相关的颈动脉神奇网：一例报告及系统评价
Carotid rete mirabile associated with subarachnoid hemorrhage from intracranial aneurysm: A case report and systematic review.
作者信息
Paschoal Eric Homero Albuquerque, Yamaki Vitor Nagai, Júnior Fernando Mendes Paschoal, Piske Ronie Leo, Teixeira Manoel Jacobsen, Bor-Seng-Shu Edson
机构信息
Division of Neurosurgery, Hospital Ophir Loyola, Federal University of Para, Belem, Brazil
Division of Neurosurgery, Hospital Ophir Loyola, Federal University of Para, Belem, Brazil.
出版信息
Interv Neuroradiol. 2015 Feb;21(1):55-60. doi: 10.15274/inr-2014-10107.
Abstract
Carotid rete mirabile (CRM) is a rare physiological vascular network in humans that is most often found in Eastern populations. This paper describes a CRM associated with an aneurysmal subarachnoid hemorrhage (aSAH) and discusses the details of the patient's treatment. A 28-year-old woman was admitted to our service with clinical signs and symptoms of a spontaneous aSAH. Computed tomography revealed a diffuse and extensive SAH (Fisher group IV), while an angiogram showed an abnormal collateral network in the right carotid system and a hypoplastic aspect to the internal carotid artery (ICA) on the same side. In addition, a saccular aneurysm with a diameter of 9.5 mm was present in the ophthalmic segment of the left ICA. This case is extremely uncommon. To avoid rebleeding in the patient, we successfully treated the patient by clipping the aneurysmal lesion. No procedure was performed for the CRM.
摘要
颈动脉神奇网（CRM）是人类中一种罕见的生理性血管网络，最常见于东方人群。本文描述了一例与动脉瘤性蛛网膜下腔出血（aSAH）相关的CRM，并讨论了该患者的治疗细节。一名28岁女性因自发性aSAH的临床症状和体征入院。计算机断层扫描显示弥漫性广泛蛛网膜下腔出血（Fisher IV级），而血管造影显示右侧颈动脉系统存在异常侧支网络，且同侧颈内动脉（ICA）发育不全。此外，左侧颈内动脉眼段存在一个直径9.5毫米的囊状动脉瘤。该病例极为罕见。为避免患者再次出血，我们通过夹闭动脉瘤病变成功治疗了该患者。未对CRM进行任何处理。
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