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有趣的前交通动脉动脉瘤病例竟是破裂的开窗型A1段动脉瘤伴多发动脉瘤:一例病例报告及文献综述

Interesting Case of Anterior Communicating Artery Aneurysm Turns Out to Be a Ruptured Fenestrated A1 Segment Aneurysm With Concomitant Multiple Aneurysms: A Case Report and Literature Review.

作者信息

Naikwade Nitin V, Dange Nitin N, Nayak Naren, Mahamuni Ashvini P, Palave Prakash

机构信息

Neurosurgery, Lokmanya Tilak Municipal Medical College Sion, Mumbai, IND.

Neurosurgery, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, IND.

出版信息

Cureus. 2024 Aug 31;16(8):e68341. doi: 10.7759/cureus.68341. eCollection 2024 Aug.

Abstract

The luminal separation of the vessel into two distinct, parallel channels that reunite distantly is known as fenestration. There is a correlation between the development of an aneurysm and the proximal portion of fenestration, although fenestrations are typically regarded as a variant of normal anatomy. We report an interesting case of an anterior communicating artery (a-comm) aneurysm, which turns out to be a ruptured fenestrated A1 segment aneurysm after digital subtraction angiography with concomitant multiple aneurysms treated by clipping along with case report and literature review.

摘要

血管腔分离为两个不同的平行通道并在远处重新汇合被称为开窗。动脉瘤的发生与开窗的近端部分之间存在相关性,尽管开窗通常被视为正常解剖结构的一种变异。我们报告了一例有趣的前交通动脉瘤病例,经数字减影血管造影显示,这是一例破裂的开窗型A1段动脉瘤,同时伴有多个动脉瘤通过夹闭治疗,并进行病例报告和文献复习。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fee0/11444810/e9bc96f4065f/cureus-0016-00000068341-i01.jpg

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