急性出血性基底动脉夹层的影像诊断与急诊血管内治疗：一例报告
Images Diagnosis and Emergent Endovascular Treatment of Acute Hemorrhagic Basilar Artery Dissection: A Case Report.
作者信息
Lee Chia-Ju, Lee Kwo-Whei, Chen Wei-Liang, Chiu Chun-Ching
机构信息
Department of Neurology, Changhua Christian Hospital.
Department of Medical Imaging, Changhua Christian Hospital.
出版信息
Acta Neurol Taiwan. 2016 Jun 15;25(2):45-50.
PURPOSE
Basilar artery dissection (BAD) is a rare but possibly fatal disease with specific neuroimage findings. The management of BAD varies. This report describes a case with hemorrhagic BAD treated by endovascular stent-assisted coil embolization.
CASE REPORT
We report an 82-year-old case of acute mid basilar artery dissection complicated with acute subarachnoid hemorrhage (SAH), intraventricular hemorrhage (IVH) and hydrocephalus, which was diagnosed by complete neuroimage surveys including computed tomography angiography (CTA), magnetic resonance angiography (MRA), and digital subtraction angiography (DSA). She was then successfully treated by endovascular stent-assisted coil embolization.
CONCLUSION
By modern sophisticated neuroimages, BAD could be diagnosed. Endovascular treatment with stent-assisted coil embolization can be a safe and efficacious choice for relatively poor surgical indicated patients with hemorrhagic BAD.
目的
基底动脉夹层（BAD）是一种罕见但可能致命的疾病，具有特定的神经影像学表现。BAD的治疗方法各不相同。本报告描述了1例采用血管内支架辅助弹簧圈栓塞治疗的出血性BAD病例。
病例报告
我们报告1例82岁急性基底动脉中段夹层合并急性蛛网膜下腔出血（SAH）、脑室内出血（IVH）和脑积水的病例，该病例通过包括计算机断层血管造影（CTA）、磁共振血管造影（MRA）和数字减影血管造影（DSA）在内的完整神经影像学检查得以确诊。随后，她通过血管内支架辅助弹簧圈栓塞治疗获得成功。
结论
通过现代精密的神经影像学检查可诊断BAD。对于手术指征相对较差的出血性BAD患者，血管内支架辅助弹簧圈栓塞治疗可能是一种安全有效的选择。
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