Pasha Shaik Afsar, Ghanta Rajesh K, Govind Biju
Department of Neurology, NRI Medical College and General Hospital, Guntur, Andhra Pradesh, India.
Department of Neurosurgery, Suraksha Hospital, Vijayawada, Andhra Pradesh, India.
Asian J Neurosurg. 2019 Jul-Sep;14(3):989-991. doi: 10.4103/ajns.AJNS_327_16.
We report a case of subarachnoid hemorrhage in a 38-year-old male, diagnosed to have the right middle cerebral artery aneurysm on computed tomography (CT) cerebral angiogram. He was a known hypertensive for 17 years and was on irregular treatment. Craniotomy and clipping of the aneurysm were done. Postoperatively, the patient had high blood pressure of 200/120 mmHg. Treatment of hypertension in the postoperative period resulted in paraplegia. CT angiogram of aorta revealed coarctation-postductal type. He underwent balloon dilatation for the coarctation of aorta followed by coarctopalsty and stenting with the improvement in motor power in both lower limbs.
我们报告一例38岁男性蛛网膜下腔出血病例，经计算机断层扫描（CT）脑血管造影诊断为右侧大脑中动脉瘤。他患高血压17年，治疗不规律。进行了开颅动脉瘤夹闭术。术后，患者血压高达200/120 mmHg。术后高血压治疗导致截瘫。主动脉CT血管造影显示为导管后型缩窄。他接受了主动脉缩窄球囊扩张术，随后进行了缩窄修复和支架置入术，双下肢运动能力有所改善。
