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大脑后动脉夹层动脉瘤

Dissecting Aneurysm of the Posterior Cerebral Artery.

机构信息

Department of Radiology, Division of Neurointerventional Radiology, University of Massachusetts Medical Center, Worcester, Massachusetts, USA.

Department of Radiology, Division of Neurointerventional Radiology, University of Massachusetts Medical Center, Worcester, Massachusetts, USA.

出版信息

World Neurosurg. 2023 Dec;180:107-109. doi: 10.1016/j.wneu.2023.09.096. Epub 2023 Sep 27.

Abstract

Posterior circulation aneurysms are more likely to rupture than those in the anterior circulation but also pose more of a challenge for endovascular treatment or neurosurgical clipping. Aneurysms arising from the posterior cerebral artery are rare; dissecting aneurysms are even rarer. Dissecting posterior cerebral artery aneurysms can be spontaneous or post traumatic. Our case depicts a patient with acute subarachnoid hemorrhage due to a ruptured, dissecting posterior cerebral artery aneurysm who underwent successful endovascular treatment by means of flow diversion.

摘要

后循环动脉瘤比前循环动脉瘤更易破裂,但也给血管内治疗或神经外科夹闭带来更大的挑战。起源于大脑后动脉的动脉瘤很少见,夹层动脉瘤则更为罕见。夹层大脑后动脉动脉瘤可以是自发性的,也可以是外伤性的。我们的病例描述了一例因破裂的夹层大脑后动脉动脉瘤导致急性蛛网膜下腔出血的患者,该患者成功地接受了血流导向装置的血管内治疗。

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