Elamurugan Elamaran, Ram Duvuru
Department of CTVS, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India.
Interact Cardiovasc Thorac Surg. 2019 Jul 1;29(1):152-153. doi: 10.1093/icvts/ivz033.
Neurofibromatosis type 1 vasculopathy is a well-documented entity in the literature, but a rupture of the thyrocervical artery aneurysm is very rare and only 2 cases have been reported to date. Our patient presented with a right-sided hemiparesis and deviation of the angle of the mouth to the left. He was diagnosed to have hypertensive bleed in the left capsulo-ganglionic area. He then developed a sudden onset of left-sided neck swelling 8 h following admission, which was due to a ruptured thyrocervical artery aneurysm. To the best of our knowledge, our case is the first case in literature to have presented with simultaneous intracerebral bleed and a thyrocervical artery aneurysm rupture.
1型神经纤维瘤病血管病变在文献中是一个有充分记录的实体，但甲状腺颈动脉瘤破裂非常罕见，迄今为止仅报道过2例。我们的患者表现为右侧偏瘫和口角向左偏斜。他被诊断为左侧豆状核-神经节区域高血压性出血。入院8小时后，他突然出现左侧颈部肿胀，这是由于甲状腺颈动脉瘤破裂所致。据我们所知，我们的病例是文献中首例同时出现脑出血和甲状腺颈动脉瘤破裂的病例。
