Przelomski M M, Fisher M, Davidson R I, Jones H R, Marcus E M
Neurology. 1986 Apr;36(4):584-7. doi: 10.1212/wnl.36.4.584.
Transient focal cerebral ischemia may occasionally be due to distal embolization of a clot from an unruptured intracranial aneurysm. Follow-up data in 12 such patients revealed no ischemic strokes, subarachnoid or parenchymal hemorrhages in a mean follow-up period of 6.5 years. The aneurysms ranged in size from 2 to 12 mm in diameter, and only two were larger than 10 mm. Two patients had clip ligation of the aneurysm, five patients were given platelet antiaggregation therapy, one was given oral anticoagulants after aortic valve surgery, and four had no specific therapy. The prognosis for unruptured aneurysms presenting with transient focal ischemia was good, regardless of therapy.
短暂性局灶性脑缺血偶尔可能是由于未破裂颅内动脉瘤的血栓远端栓塞所致。对12例此类患者的随访数据显示，在平均6.5年的随访期内未发生缺血性卒中、蛛网膜下腔出血或脑实质出血。动脉瘤直径范围为2至12毫米，只有两个大于10毫米。2例患者进行了动脉瘤夹闭术，5例患者接受了血小板抗聚集治疗，1例在主动脉瓣手术后接受了口服抗凝剂治疗，4例未接受特殊治疗。无论采用何种治疗方法，伴有短暂性局灶性缺血的未破裂动脉瘤预后良好。
