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白塞综合征中动脉瘤性蛛网膜下腔出血后的迟发性血管痉挛

Delayed Vasospasm after Aneurysmal Subarachnoid Hemorrhage in Behcet Syndrome.

作者信息

Kim Jun Hak, Lee Si-Un, Huh Choonwoong, Oh Chang Wan, Bang Jae Seung, Kim Tackeun

机构信息

Department of Neurosurgery, Myongji St. Mary's Hospital, Seoul, Korea.

Department of Neurosurgery, Seoul National University Bundang Hospital, Seongnam, Korea.

出版信息

J Cerebrovasc Endovasc Neurosurg. 2016 Mar;18(1):27-31. doi: 10.7461/jcen.2016.18.1.27. Epub 2016 Mar 31.

Abstract

A man visited the emergency room with a headache. Brain computed tomography showed aneurysmal subarachnoid hemorrhage (SAH) and multiple aneurysms. After aneurysm clipping surgery, the patient was discharged. After 5 days, he was admitted to the hospital with skin ulceration and was diagnosed with Behcet syndrome. An angiogram taken 7 weeks after aneurysmal SAH showed intracranial vasospasm. Because inflammation in Behcet syndrome may aggravate intracranial vasospasm, intracranial vasospasm after aneurysmal SAH in Behcet syndrome should be monitored for longer compared to general aneurysmal SAH.

摘要

一名男子因头痛前往急诊室。脑部计算机断层扫描显示为动脉瘤性蛛网膜下腔出血(SAH)和多发性动脉瘤。动脉瘤夹闭手术后,患者出院。5天后,他因皮肤溃疡入院,被诊断为白塞综合征。动脉瘤性SAH 7周后进行的血管造影显示颅内血管痉挛。由于白塞综合征中的炎症可能会加重颅内血管痉挛,因此与一般动脉瘤性SAH相比,白塞综合征中动脉瘤性SAH后的颅内血管痉挛应进行更长时间的监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a59/4842905/f0da04d111ac/jcen-18-27-g001.jpg

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