1例经血管内治疗的内侧豆纹动脉远端动脉瘤伴脑室内出血患者
A Patient with a Distal Medial Lenticulostriate Artery Aneurysm and Intraventricular Hemorrhage Treated by Endovascular Treatment.
作者信息
Yamano Akinari, Nakamura Kazuhiro, Onuma Kuniyuki, Sato Masayuki, Matsumaru Yuji, Yanaka Kiyoyuki, Ishikawa Eiichi, Matsumura Akira
机构信息
Department of Neurosurgery, Tsukuba Memorial Hospital, Tsukuba, Ibaraki, Japan.
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
出版信息
J Neuroendovasc Ther. 2020;14(9):400-405. doi: 10.5797/jnet.cr.2019-0083. Epub 2020 Jun 19.
OBJECTIVE
A patient with a ruptured distal medial lenticulostriate artery (mLSA) aneurysm presenting with intraventricular hemorrhage was successfully treated using endovascular treatment.
CASE PRESENTATION
A 60-year-old woman presented with impaired consciousness. Radiological examination revealed intraventricular hemorrhage caused by a rupture of a distal mLSA aneurysm. Using endovascular technique, approaching contralaterally through the anterior communicating artery (AComA), complete occlusion of the aneurysm was achieved by N-butyl-2-cyanoacrylate (NBCA) injection. The postoperative course was uneventful.
CONCLUSION
Intraventricular aneurysms at a distal site of the perforating arteries are rare. Although there have been reports on patients with distal mLSA aneurysms treated by open surgery or conservative therapy, endovascular therapy should also be considered as a treatment option.
目的
一名因豆纹动脉内侧远端（mLSA）动脉瘤破裂导致脑室内出血的患者通过血管内治疗获得成功。
病例介绍
一名60岁女性出现意识障碍。影像学检查显示由mLSA远端动脉瘤破裂引起的脑室内出血。采用血管内技术，经前交通动脉（AComA）对侧入路，通过注射N-丁基-2-氰基丙烯酸酯（NBCA）实现了动脉瘤的完全闭塞。术后过程顺利。
结论
穿支动脉远端部位的脑室内动脉瘤罕见。虽然已有关于通过开放手术或保守治疗的远端mLSA动脉瘤患者的报道，但血管内治疗也应被视为一种治疗选择。
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