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以孤立性脑室内出血为表现的远端脉络膜前动脉动脉瘤破裂：病例报告及文献综述

Ruptured Distal Anterior Choroidal Artery Aneurysm Presenting as Isolated Intraventricular Hemorrhage: Case Report and Comprehensive Review of the Literature.

作者信息

Tan Chi Hau, Lai Leon T, Chandra Ronil V

机构信息

Department of Neurosurgery, Monash University, Melbourne, Australia.

Department of Surgery, Monash University, Melbourne, Australia.

出版信息

Asian J Neurosurg. 2018 Apr-Jun;13(2):487-491. doi: 10.4103/ajns.AJNS_256_16.

DOI:10.4103/ajns.AJNS_256_16
PMID:29682069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5898140/
Abstract

Distal anterior choroidal artery (AChA) aneurysms are infrequent. We discuss the case of a 59-year-old patient who presented with an isolated intraventricular hemorrhage (IVH) secondary to a ruptured distal AChA aneurysm. Initial noninvasive cerebral computed tomography angiography revealed no evidence of an underlying vascular pathology. The patient underwent further digital subtraction cerebral angiography, which revealed an aneurysm arising from the distal AChA segment. The aneurysm was successfully treated with surgical clip ligation. The current study highlights the importance of considering a ruptured distal AChA aneurysm as a potential source of isolated IVH.

摘要

脉络膜前动脉（AChA）远端动脉瘤较为少见。我们讨论一例59岁患者，其因脉络膜前动脉远端动脉瘤破裂导致孤立性脑室内出血（IVH）。最初的无创性脑计算机断层扫描血管造影未发现潜在血管病变的证据。患者进一步接受数字减影脑血管造影，结果显示动脉瘤起源于脉络膜前动脉远端节段。该动脉瘤通过手术夹闭成功治疗。本研究强调了将脉络膜前动脉远端动脉瘤破裂视为孤立性脑室内出血潜在病因的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6451/5898140/f1bcd3e942ba/AJNS-13-487-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6451/5898140/222d057d6553/AJNS-13-487-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6451/5898140/e7f69716e400/AJNS-13-487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6451/5898140/f1bcd3e942ba/AJNS-13-487-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6451/5898140/222d057d6553/AJNS-13-487-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6451/5898140/e7f69716e400/AJNS-13-487-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6451/5898140/f1bcd3e942ba/AJNS-13-487-g003.jpg

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本文引用的文献

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Intraventricular hemorrhage caused by peripheral anterior choroidal artery aneurysm rupture. A case report.
Neuroradiol J. 2008 Dec 17;21(5):717-20. doi: 10.1177/197140090802100518.
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Anterior choroidal artery aneurysm surgery: ischemic complications and clinical outcomes revisited.脉络膜前动脉动脉瘤手术：缺血性并发症及临床结局再探讨
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Intraventricular aneurysms: case reports and review of the literature.脑室内动脉瘤：病例报告及文献综述
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大脑中动脉远端穿支动脉起源的破裂动脉瘤的特征与处理
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Distal anterior choroidal artery aneurysm following iatrogenic posterior cerebral artery occlusion : a case report and review of literature.医源性大脑后动脉闭塞后发生的脉络膜前动脉远段动脉瘤：病例报告及文献复习。
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