Wang Yabing, Jiao Liqun
Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Neurol India. 2021 Jan-Feb;69(1):184-186. doi: 10.4103/0028-3886.310099.
Extracranial vertebral artery aneurysms are a rare cause of embolic stroke; various surgical and endovascular treatment options are available.
We report a 44-year-old man with a symptomatic proximal extracranial vertebral artery aneurysm of unclear etiology. The patient presented with brainstem infarction, and the diagnosis of primary extracranial vertebral artery aneurysm was made by computed tomography angiography (CTA).
This patient's aneurysm was definitively treated using an endovascular approach with placement of a covered stent in the right proximal vertebral artery.
Although aneurysms of this location are traditionally repaired with open aneurysmectomy, we show that endovascular treatment can be a safe and effective alternative approach. In the case reported here, primary extracranial vertebral artery aneurysm presenting with embolic stroke was successfully treated with a covered stent. Complete exclusion of the aneurysm from blood circulation is advisable to achieve full resolution of the embolic source.
颅外椎动脉动脉瘤是栓塞性卒中的罕见病因；有多种手术和血管内治疗选择。
我们报告一名44岁男性，患有病因不明的有症状的近端颅外椎动脉动脉瘤。该患者出现脑干梗死，通过计算机断层血管造影（CTA）确诊为原发性颅外椎动脉动脉瘤。
该患者的动脉瘤通过血管内方法进行了明确治疗，在右近端椎动脉置入了覆膜支架。
尽管该部位的动脉瘤传统上采用开放性动脉瘤切除术修复，但我们表明血管内治疗可以是一种安全有效的替代方法。在此报告的病例中，患有栓塞性卒中的原发性颅外椎动脉动脉瘤通过覆膜支架成功治疗。建议将动脉瘤完全排除在血液循环之外，以实现栓塞源的完全消除。
