Seong Jonghyun, Kim Jongyeon, Lee Seungjin, Kim Byeongoh
Department of Neurosurgery, Kangwon National University Hospital, Kangwon National University College of Medicine, Chuncheon, Korea.
Department of Neurosurgery, Wonju Severance Christian Hospital, Wonju College of Medicine, Yonsei University, Wonju, Korea.
J Cerebrovasc Endovasc Neurosurg. 2024 Jun;26(2):174-180. doi: 10.7461/jcen.2023.E2023.08.010. Epub 2023 Oct 17.
When aneurysmal subarachnoid hemorrhage due to multiple aneurysms is suspected, identifying the rupture site is essential to determine the exact surgical site, but it may not be easy. Even if embolization is adequately performed, complications may remain. Typical complications include rebleeding and hydrocephalus in the early phase and delayed cerebral ischemia in the delayed phase. Herein, we describe a case of rupture of an intracranial aneurysm after performing embolization for a different ruptured intracranial aneurysm in a patient with multiple intracranial aneurysms. Patients with multiple intracranial aneurysms need to be considered for closer observation than those with a single ruptured intracranial aneurysm, even if the patient's prognosis is good.
当怀疑因多发性动脉瘤导致蛛网膜下腔出血时，确定破裂部位对于明确确切的手术部位至关重要，但这可能并非易事。即使栓塞操作得当，仍可能遗留并发症。典型的并发症包括早期的再出血和脑积水，以及延迟期的迟发性脑缺血。在此，我们描述了一例颅内多发性动脉瘤患者在对一个破裂的颅内动脉瘤进行栓塞治疗后，另一个颅内动脉瘤发生破裂的病例。颅内多发性动脉瘤患者即使预后良好，也需要比单一破裂颅内动脉瘤患者更密切地观察。
