Department of Health Sciences (DISSAL), University of Genoa, Genoa, Liguria, Italy.
Department of Neuroradiology, Ospedale Policlinico San Martino IRCCS, Genoa, Liguria, Italy.
BMJ Case Rep. 2020 Oct 7;13(10):e236649. doi: 10.1136/bcr-2020-236649.
A 65-year-old woman presented to the emergency department with sudden onset of left-sided weakness, headache and vomiting. A cerebral CT showed an acute intracerebral haemorrhage involving the right caudate nucleus and lentiform nucleus with mild midline shift and intraventricular extension. CT angiography did not reveal aneurysm or other vascular anomaly. Conventional cerebral angiography demonstrated a 3 mm right medial lenticulostriate branch aneurysm, arising from the right anterior cerebral artery (ACA). Endovascular treatment was performed from the left internal carotid via the anterior communicating artery into the right ACA. Complete occlusion was achieved with injection of N-butyl-2-cyanoacrylate. The patient had neurological rehabilitation during hospitalisation followed by outpatient physical therapy. Two years later, clinical follow-up demonstrated excellent recovery.
一位 65 岁女性因突发左侧无力、头痛和呕吐到急诊就诊。头颅 CT 显示右侧尾状核和豆状核急性脑出血，轻度中线移位和脑室扩展。CT 血管造影未显示动脉瘤或其他血管异常。常规脑血管造影显示右侧大脑前动脉（ACA）发出的 3mm 右侧内侧纹状体支动脉瘤。经左侧颈内动脉通过前交通动脉进入右侧 ACA 进行血管内治疗。用 N-丁基-2-氰基丙烯酸酯注射实现完全闭塞。患者在住院期间进行了神经康复治疗，随后进行了门诊物理治疗。两年后，临床随访显示恢复良好。
