多发颅内进行性夹层动脉瘤：病例报告。
Multiple intracranial enlarging dissecting aneurysms: a case report.
机构信息
Diagnosis and Treatment Center of Encephalopathy, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, 510120, China.
Department of Cerebrovascular Surgery, Guangdong Provincial Hospital of Chinese Medicine, Hospital of Guangzhou University Mega Center, Guangzhou, 510006, China.
出版信息
BMC Neurol. 2023 Jul 12;23(1):265. doi: 10.1186/s12883-023-03303-6.
BACKGROUND
Cases of multiple cerebral aneurysms are rare. In this case report, we describe a male patient with multiple, enlarging, and ruptured aneurysms. The two aneurysms were believed to be dissecting aneurysms.
CASE DESCRIPTION
A 47-year-old man presented with left limb paralysis. Magnetic resonance imaging revealed a cerebral infarction. Digital subtraction angiography (DSA) identified an aneurysm and occlusion in the right middle cerebral artery (MCA). The MCA aneurysm was remarkably enlarged on the eighth day after cerebral ischemia and was treated using endovascular techniques. Two weeks after the endovascular treatment, the patient experienced a severe headache and became comatose, and a subarachnoid re-hemorrhage was confirmed. The fourth DSA revealed an enlarging dissecting aneurysm in the posterior cerebral artery. The patient died without further treatment.
CONCLUSION
Some dissecting aneurysms rapidly enlarge and rupture.
背景
多发脑动脉瘤较为罕见。在本病例报告中，我们描述了一名男性患者，其患有多个不断增大并破裂的动脉瘤。这两个动脉瘤被认为是夹层动脉瘤。
病例描述
一名 47 岁男性因左侧肢体瘫痪就诊。磁共振成像显示脑梗死。数字减影血管造影（DSA）发现右侧大脑中动脉（MCA）处有一个动脉瘤和闭塞。脑缺血后第 8 天，MCA 动脉瘤显著增大，并采用血管内技术进行治疗。血管内治疗两周后，患者出现严重头痛并昏迷，证实再次蛛网膜下腔出血。第四次 DSA 显示后交通动脉处有一个不断增大的夹层动脉瘤。患者未接受进一步治疗死亡。
结论
一些夹层动脉瘤会迅速增大并破裂。
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