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手术切除破裂的神经根髓动脉动脉瘤：一例报告

Surgical Removal of a Ruptured Radiculomedullary Artery Aneurysm: A Case Report.

作者信息

Kim Seung Bin, Ban Seung Pil, Kim Hyun-Jib, Kwon O-Ki

机构信息

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

出版信息

J Cerebrovasc Endovasc Neurosurg. 2017 Sep;19(3):217-222. doi: 10.7461/jcen.2017.19.3.217. Epub 2017 Sep 30.

DOI:10.7461/jcen.2017.19.3.217
PMID:29159157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5680087/
Abstract

Subarachnoid hemorrhage due to a solitary spinal aneurysm is extremely rare, and diagnosis and treatment are challenging. We report a rare case of a ruptured radiculomedullary artery aneurysm in a patient with Behçet disease. A 49-year-old man presented with severe lower abdominal and leg pain. Magnetic resonance imaging was performed and an enhanced intradural-extramedullary lesion at the T12 spinal level with subarachnoid hemorrhage was identified. Diagnostic spinal angiography was performed to evaluate the vascular lesion, and a radiculomedullary artery aneurysm at the T12 level was identified. We performed surgical resection of the aneurysm and a good neurological outcome was obtained.

摘要

孤立性脊髓动脉瘤引起的蛛网膜下腔出血极为罕见，诊断和治疗颇具挑战性。我们报告一例白塞病患者发生的神经根髓动脉动脉瘤破裂的罕见病例。一名49岁男性出现严重的下腹部和腿部疼痛。进行了磁共振成像检查，发现T12脊髓水平有一个硬膜内-髓外强化病变并伴有蛛网膜下腔出血。进行了诊断性脊髓血管造影以评估血管病变，发现T12水平存在一个神经根髓动脉动脉瘤。我们对该动脉瘤进行了手术切除，获得了良好的神经功能结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ee/5680087/64bf108a3707/jcen-19-217-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ee/5680087/c5247172631b/jcen-19-217-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ee/5680087/db03604be813/jcen-19-217-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ee/5680087/2fcfe60399f4/jcen-19-217-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ee/5680087/64bf108a3707/jcen-19-217-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ee/5680087/c5247172631b/jcen-19-217-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ee/5680087/db03604be813/jcen-19-217-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ee/5680087/2fcfe60399f4/jcen-19-217-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89ee/5680087/64bf108a3707/jcen-19-217-g004.jpg

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