创伤性枕动脉假性动脉瘤：病例报告、解剖学考量及文献综述
Traumatic occipital artery pseudoaneurysm: Case report, anatomical considerations, and literature review.
作者信息
de Oliveira Souza Natália Vasconcellos, Janot Kevin, Dmytriw Adam A, Benalia Victor Hugo, Mendes Pereira Vitor
机构信息
Neurovascular Center, Department of Surgery, Division of Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto ON, Canada.
Department of Neurosurgery, Baptist Medical Center, Jacksonville, Florida, USA.
出版信息
Interv Neuroradiol. 2024 Aug 18:15910199241271062. doi: 10.1177/15910199241271062.
We describe a case of a 22-year-old man with a traumatic occipital artery pseudoaneurysm revealed by a painful expanding neck hematoma after a penetrating knife injury. A neuroendovascular consultation was requested after a computed tomography angiogram showed active pseudoaneurysm bleeding. Anatomical considerations of the upper cervical region including dangerous anastomosis between the vertebral and internal carotid artery are discussed, illustrating how this impacted our treatment strategy. We also discuss other treatment modalities after a thorough literature review of traumatic occipital artery pseudoaneurysms.
我们描述了一例22岁男性患者，其在被刀刺伤后出现疼痛性颈部血肿，经检查发现为创伤性枕动脉假性动脉瘤。计算机断层血管造影显示假性动脉瘤有活动性出血后，请求进行神经血管内会诊。文中讨论了上颈椎区域的解剖学因素，包括椎动脉和颈内动脉之间的危险吻合，说明了这些因素如何影响我们的治疗策略。在对创伤性枕动脉假性动脉瘤进行全面文献综述后，我们还讨论了其他治疗方式。
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