颅内动脉瘤：强直性脊柱炎中一种罕见的神经学表现。

Intracranial Aneurysm: A Rare Neurological Finding in Ankylosing Spondylitis.

作者信息

Pairan Mohd Shakirin, Abdul Halim Sanihah

机构信息

Department of Medicine, Hospital Segamat Ministry of Health, Johor, MYS.

Department of Internal Medicine (Neurology), School of Medical Sciences, Universiti Sains Malaysia, Kelantan, MYS.

出版信息

Cureus. 2023 Nov 27;15(11):e49509. doi: 10.7759/cureus.49509. eCollection 2023 Nov.

DOI:10.7759/cureus.49509

PMID:38152807

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10752629/

Abstract

Ankylosing spondylitis can present with various extra-articular manifestations. Vascular complications due to aortic aneurysm or aortitis have been documented. However, an association with intracranial vascular aneurysm is rarely reported. We report a case of a young male with positive HLA B27 ankylosing spondylitis, with extra-articular involvements, presented with recurrent unilateral headache. He was found to have an unruptured anterior communicating artery aneurysm. It was confirmed by a cerebral angiogram, and he was treated conservatively.

摘要

强直性脊柱炎可伴有多种关节外表现。主动脉瘤或主动脉炎引起的血管并发症已有文献记载。然而，与颅内血管动脉瘤的关联鲜有报道。我们报告一例年轻男性，其 HLA B27 阳性的强直性脊柱炎伴有关节外受累，表现为反复发作的单侧头痛。经检查发现他患有未破裂的前交通动脉瘤。脑血管造影证实了这一情况，他接受了保守治疗。