Mohammad Laila M, Coon Alexander L, Carlson Andrew P
Department of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, New Mexico ; and.
Department of Neurosurgery, Johns Hopkins University, Baltimore, Maryland.
J Neurosurg Pediatr. 2017 Jul;20(1):81-85. doi: 10.3171/2016.9.PEDS16428. Epub 2017 Apr 28.
The authors present an unusual case of a 15-year-old boy in whom sensorineural hearing loss and disequilibrium developed in the setting of a giant basilar artery aneurysm. This patient was treated with a flow-diverting stent and had complete resolution of his clinical symptoms including hearing loss. This case demonstrates the efficacy of flow diversion in select pediatric patients with posterior circulation aneurysms. The features that are thought to result in successful treatment are discussed.
作者报告了一例罕见病例,一名15岁男孩在患有巨大基底动脉动脉瘤的情况下出现感音神经性听力损失和平衡失调。该患者接受了血流导向支架治疗,其包括听力损失在内的临床症状完全缓解。本病例证明了血流导向术在特定小儿后循环动脉瘤患者中的疗效。文中讨论了被认为导致治疗成功的特征。