年轻女性非典型症状性双侧自发性海绵窦段颈动脉瘤合并系统性血管壁病变：一例罕见病例报告
Atypical Symptomatic Bilateral Spontaneous Cavernous Carotid Aneurysm with Systemic Vessel Wall Pathology in Young Female: A Rare Case Report.
作者信息
Miyatani Kyosuke, Korde Paresh, Yamada Yasuhiro, Kawase Tsukasa, Takizawa Katsumi, Kato Yoko
机构信息
Department of Neurosurgery, Banbutane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi, Japan.
Department of Neurosurgery, Asahikawa Red Cross Hospital, Asahikawa, Japan.
出版信息
Asian J Neurosurg. 2019 Nov 25;14(4):1245-1248. doi: 10.4103/ajns.AJNS_210_19. eCollection 2019 Oct-Dec.
Abstract
Bilateral cavernous carotid aneurysm (CCA) is a rare entity. Its association with connective tissue disorder makes the diagnosis and treatment of symptomatic patient an enigma. We present a case report of a 25-year-old female medical student presented to us with bilateral spontaneous atypically symptomatic CCA with incidentally diagnosed case of Ehlers-Danlos syndrome. Both surgical and endovascular options of treatment were weighed and were ultimately treated satisfactorily by high-flow bypass with carotid artery ligation with an insurance bypass.
摘要
双侧海绵窦段颈动脉瘤（CCA）是一种罕见的疾病。它与结缔组织疾病的关联使得有症状患者的诊断和治疗成为一个难题。我们报告一例25岁女性医学生的病例，她因双侧自发性非典型症状性CCA就诊，同时偶然诊断出埃勒斯-当洛综合征。对手术和血管内治疗方案都进行了权衡，最终通过高流量旁路联合颈动脉结扎并进行保险旁路手术得到了满意的治疗。
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