OuYang Mang, Huang Xiaofei, Wang Yang
Nanchang University Medical College, Department of Neurosurgery, Nanchang City, Jiangxi Province, China; The First Affiliated Hospital of Nanchang University, Nanchang City, Jiangxi Province, China.
The First Affiliated Hospital of Nanchang University, Nanchang City, Jiangxi Province, China.
World Neurosurg. 2019 May;125:42-43. doi: 10.1016/j.wneu.2019.01.147. Epub 2019 Feb 5.
Infectious pseudoaneurysm of the intracavernous carotid artery is rare, often caused by sphenoid sinusitis or transsphenoidal surgery. Management of intracranial infectious aneurysms (IIAs) remains a controversial topic lacking randomized controlled trials to guide clinical decision making.
For this case, we used an antibiotic to treat the patient in the initial stage. Because IIAs enlarge rapidly, endovascular treatment was performed in the emergency department.
Unfortunately, the patient died because the IIA recurred and ruptured. Therefore we speculated that stent-assisted coil placement for the treatment of ruptured infectious pseudoaneurysms of the internal carotid artery may not be safe.
海绵窦段颈内动脉感染性假性动脉瘤较为罕见，常由蝶窦炎或经蝶窦手术引起。颅内感染性动脉瘤（IIA）的治疗仍是一个有争议的话题，缺乏随机对照试验来指导临床决策。
对于本病例，我们在初始阶段使用抗生素治疗患者。由于IIA迅速增大，在急诊科进行了血管内治疗。
不幸的是，患者因IIA复发破裂而死亡。因此我们推测，支架辅助弹簧圈置入术治疗破裂的颈内动脉感染性假性动脉瘤可能不安全。
