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枕动脉近端真性动脉瘤:病例报告

True aneurysm of the proximal occipital artery: Case report.

作者信息

Illuminati Giulio, Cannistrà Marco, Pizzardi Giulia, Pasqua Rocco, Frezzotti Francesca, Calio' Francesco G

机构信息

The University of Rome "La Sapienza", Department of Surgical Sciences, Rome, Italy.

The University of Rome "La Sapienza", Department of Surgical Sciences, Rome, Italy.

出版信息

Int J Surg Case Rep. 2018;43:32-35. doi: 10.1016/j.ijscr.2018.01.011. Epub 2018 Feb 9.

Abstract

INTRODUCTION

True aneurysms of the proximal occipital artery are rare, may cause neurological symptoms due to compression of the hypoglossal nerve and their resection may be technically demanding.

PRESENTATION OF CASE

The case of an aneurysm of the proximal occipital artery causing discomfort and tongue deviation by compression on the hypoglossal nerve is reported. Postoperative course after resection was followed by complete regression of symptoms.

CONCLUSION

Surgical resection, as standard treatment of aneurysms of the occipital artery, with the eventual technical adjunct of intubation by the nose is effective in durably relieving symptoms and preventing aneurysm-related complication.

摘要

引言

枕动脉近端真性动脉瘤罕见,可能因舌下神经受压而导致神经症状,其切除在技术上可能具有挑战性。

病例介绍

报告了一例枕动脉近端动脉瘤因压迫舌下神经导致不适和舌偏斜的病例。切除术后症状完全消退。

结论

手术切除作为枕动脉瘤的标准治疗方法,最终可采用经鼻插管这一技术辅助手段,能有效持久缓解症状并预防动脉瘤相关并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e72e/5814384/0ebed2d2ce8b/gr1.jpg

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