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先天性蔓状动脉瘤与矢状窦相通,由颅外和颅内动脉供血。

Congenital Cirsoid aneurysm communicating with the sagittal sinus and supplied by extra and intracranial arteries.

作者信息

Idowu O E, Ayodele O A, Oshola H A

机构信息

a Department of Surgery , Lagos State University College of Medicine , Lagos , Nigeria.

b Department of Surgery , Lagos State University Teaching Hospital , Lagos , Nigeria.

出版信息

Br J Neurosurg. 2019 Feb;33(1):88-89. doi: 10.1080/02688697.2018.1518516. Epub 2018 Oct 13.

DOI:10.1080/02688697.2018.1518516
PMID:30317871
Abstract

We describe the unique case of a 6-year old boy who presented with recalcitrant generalized tonic-clonic seizures and clinicoradiological features of congenital Cirsoid aneurysm. The lesion was supplied by occipital arteries and a large right parietal parasagittal intracranial feeding artery in a Yokouchi type C pattern. The venous drainage was communicating with the posterior part of the superior sagittal sinus. Six months after successful ligation of the feeding arteries and complete surgical excision of the lesion, the patient remains seizure free.

摘要

我们描述了一名6岁男孩的独特病例,该男孩患有顽固性全身性强直阵挛性癫痫发作,并具有先天性蔓状动脉瘤的临床和放射学特征。病变由枕动脉和一条呈横口C型的右侧顶叶矢状旁颅内供血大动脉供血。静脉引流与上矢状窦后部相通。在成功结扎供血动脉并完全手术切除病变六个月后,患者未再发作癫痫。

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