Department of Radiology, University Hospital, 50005 Hradec Kralove, Czech Republic.
Faculty of Medicine in Hradec Kralove, Charles University, 50003 Hradec Kralove, Czech Republic.
Medicina (Kaunas). 2024 Sep 14;60(9):1499. doi: 10.3390/medicina60091499.
: Using two case reports of adult women with moyamoya disease presenting with intracranial hemorrhage from ruptured aneurysms on moyamoya collateral vessels, we aim to demonstrate the potential for effective endovascular treatment navigated by CT angiography, digital subtraction angiography, and flat panel CT. : A 45-year-old female patient with sudden onset of headache, followed by somnolency. CT scan showed a four-ventricle hematocephalus caused by a 27 × 31 × 17 mm hematoma located in the left basal ganglia. Angiography revealed a 3 mm aneurysm on hypertrophic lenticulostriate artery bridging the M1 occlusion. Selective catheterization and distal embolisation with acrylic glue was done. : A 47-year-old woman was admitted for a sudden onset of severe headache, CT scan showed four-ventricle hematocephalus. A 4 mm aneurysm on the collateral vessel-anterior chorioidal artery bridging the closure of the terminal segment of the internal carotid artery was diagnosed as the source of bleeding. Selective catheterization and distal embolisation with acrylic glue was done. : Selective embolisation of ruptured aneurysms on moya moya collaterals is a simple, effective, and safe procedure when relevant microcatheters are used with imaging software navigation such as 3D DSA, 3D road map and flat-panel CT.
使用两例成年女性烟雾病伴颅内出血的病例报告，其出血源自于烟雾病侧支血管上的破裂动脉瘤，我们旨在展示 CT 血管造影、数字减影血管造影和平面 CT 导航下有效血管内治疗的潜力。
一位 45 岁的女性患者，突发头痛，继而嗜睡。CT 扫描显示左基底节区有一个 27×31×17mm 的血肿，导致四脑室积血。血管造影显示 3mm 动脉瘤位于肥厚的纹状体动脉上，该动脉跨越 M1 闭塞部位。行选择性导管和远端胶栓塞术。
一位 47 岁的女性因突发剧烈头痛入院，CT 扫描显示四脑室积血。诊断为出血源为侧支血管-脉络膜前动脉上的 4mm 动脉瘤，该动脉瘤位于颈内动脉终末段闭塞的部位。行选择性导管和远端胶栓塞术。
当使用相关微导管和 3D DSA、3D 地形图和平板 CT 等成像软件导航时，对烟雾病侧支血管上的破裂动脉瘤进行选择性栓塞是一种简单、有效且安全的方法。
