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通过CTA和MRA诊断的Charcot-Bouchard动脉瘤

Charcot-Bouchard Aneurysm Diagnosed with CTA and MRA.

作者信息

Jamali Sanaa, Vaz José Géraldo Ribeiro, Wilms Guido

机构信息

Cliniques Universitaires Saint Luc, BE.

出版信息

J Belg Soc Radiol. 2021 Mar 12;105(1):13. doi: 10.5334/jbsr.1934.

DOI:10.5334/jbsr.1934
PMID:33748667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7954188/
Abstract

UNLABELLED

Hemorrhage in the basal ganglia resulting to lenticulostriate artery aneurysm rupture is extremely rare. This distal micro-aneurysm of the perforating lenticulostriate arteries is called Charcot-Bouchard aneurysm. We wish to report a case of an hematoma in the basal ganglia due to a Charcot-Bouchard aneurysm demonstrated by Computed Tomography Angiograpy (CTA) and Magnetic Resonance Angiography (MRA) and confirmed by selective catheter angiography.

TEACHING POINT

Charcot-Bouchard aneurysm is a very rare distal micro-aneurysm of the perforating lenticulostriate arteries. Young patients who experience basal ganglia hemorrhage should have contrast-enhanced CT, especially if they don't have arterial hypertension and if subarachnoid hemorrhage is associated.

摘要

未标注

基底节区出血由豆纹动脉动脉瘤破裂导致极为罕见。这种穿支豆纹动脉的远端微动脉瘤称为夏科-布夏尔动脉瘤。我们希望报告一例因夏科-布夏尔动脉瘤导致基底节区血肿的病例，该病例经计算机断层血管造影（CTA）和磁共振血管造影（MRA）证实，并经选择性导管血管造影确诊。

教学要点

夏科-布夏尔动脉瘤是一种非常罕见的穿支豆纹动脉远端微动脉瘤。发生基底节区出血的年轻患者应进行增强CT检查，尤其是在没有动脉高血压且伴有蛛网膜下腔出血的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db22/7954188/d6bf13139963/jbsr-105-1-1934-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db22/7954188/262f2c8276c6/jbsr-105-1-1934-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db22/7954188/77c8690fc830/jbsr-105-1-1934-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db22/7954188/d6bf13139963/jbsr-105-1-1934-g3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db22/7954188/262f2c8276c6/jbsr-105-1-1934-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db22/7954188/77c8690fc830/jbsr-105-1-1934-g2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db22/7954188/d6bf13139963/jbsr-105-1-1934-g3.jpg

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Charcot-Bouchard Aneurysm Diagnosed with CTA and MRA.通过CTA和MRA诊断的Charcot-Bouchard动脉瘤
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本文引用的文献

1
Aneurysm of lenticulostriate artery in a patient presenting with hemorrhage in the caudate nucleus and lateral ventricle-delayed appearance and spontaneous resolution.一名出现尾状核和侧脑室出血的患者的豆纹动脉动脉瘤——延迟出现并自发消退。
Surg Neurol Int. 2018 Sep 21;9:192. doi: 10.4103/sni.sni_126_18. eCollection 2018.