Knuckey N W, Epstein M H, Haas R, Sparadeo F
Department of Neurosurgery, Rhode Island Hospital, Brown University, Providence.
Neurosurgery. 1988 Jun;22(6 Pt 1):1084-7. doi: 10.1227/00006123-198806010-00021.
Distal anterior choroidal artery aneurysms with intraventricular hemorrhage are rare and difficult to treat. We report the case of a 46-year-old woman with a left distal anterior choroidal artery aneurysm presenting as a typical subarachnoid hemorrhage from which she had no focal neurological signs. Because the aneurysm was located within the dominant deep temporal lobe, we used intraoperative computed tomography to guide a probe to the aneurysm to allow minimal dissection. This is the first report of a successfully treated distal anterior choroidal artery aneurysm. Reports of this unusual aneurysm and methods of approaching deep temporal lesions are reviewed.
伴有脑室内出血的脉络膜前动脉远端动脉瘤较为罕见且治疗困难。我们报告了一例46岁女性，其左侧脉络膜前动脉远端动脉瘤表现为典型的蛛网膜下腔出血，且无局灶性神经体征。由于动脉瘤位于优势侧颞叶深部，我们术中使用计算机断层扫描引导探针到达动脉瘤，以尽量减少解剖操作。这是首例成功治疗脉络膜前动脉远端动脉瘤的报告。本文还回顾了关于这种罕见动脉瘤的报道以及处理颞叶深部病变的方法。
