Amagasa M, Onuma T, Suzuki J
No Shinkei Geka. 1987 Jan;15(1):81-6.
A 62-year-old man was admitted to our hospital, since chronic subdural hematoma was showed after he complained of mild headache and nausea. Two years ago he had head trauma at the left parietal region after drinking. On admission there was no paresis and mild choked disc is detected. Computed tomography with contrast enhancement showed abnormal enhancement and left chronic subdural hematoma. Cerebral angiography showed an aneurysm of the angular artery. Operation was done and the aneurysm was trapped. Aneurysmal wall was histologically a pseudoaneurysm. Post-operative result was good. We considered the relationship between the cortical pseudoaneurysm and chronic subdural hematoma. We reviewed the traumatic middle cerebral artery aneurysm in the literature, 56 cases.
一名62岁男性因主诉轻度头痛和恶心后被查出患有慢性硬膜下血肿而入住我院。两年前他饮酒后左侧顶叶区域发生头部外伤。入院时无瘫痪，检测到轻度视乳头水肿。增强计算机断层扫描显示异常强化及左侧慢性硬膜下血肿。脑血管造影显示角动脉有一个动脉瘤。进行了手术，将动脉瘤包绕。动脉瘤壁组织学检查为假性动脉瘤。术后结果良好。我们考虑了皮质假性动脉瘤与慢性硬膜下血肿之间的关系。我们回顾了文献中报道的创伤性大脑中动脉瘤，共56例。
