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未破裂梭形椎动脉动脉瘤所致半面痉挛的血管内血流导向治疗：一例报告

Endovascular Flow Diversion for Hemifacial Spasm Due to an Unruptured Fusiform Vertebral Artery Aneurysm: A Case Report.

作者信息

Aonuma Yuki, Yoshioka Hideyuki, Kanemaru Kazuya, Hashimoto Koji, Saito So, Wakai Takuma, Fukuda Norito, Kinouchi Hiroyuki

机构信息

Department of Neurosurgery, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Yamanashi, Japan.

出版信息

Neurosurg Pract. 2023 Jan 6;4(1):e00027. doi: 10.1227/neuprac.0000000000000027. eCollection 2023 Mar.

DOI:10.1227/neuprac.0000000000000027
PMID:39959720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11810004/
Abstract

BACKGROUND AND IMPORTANCE

Hemifacial spasm (HFS) caused by a fusiform aneurysm is rare and difficult to treat. We present the first case of successful endovascular flow diversion treatment for HFS due to a fusiform aneurysm.

CLINICAL PRESENTATION

A 46-year-old man suffered from right HFS for 6 months because of a fusiform right vertebral artery aneurysm compressing the root exit zone of cranial nerve VII. He successfully underwent flow diversion, with immediate disappearance of his HFS. Follow-up digital subtraction angiography 3 months after treatment showed complete resolution of the aneurysm.

CONCLUSION

Flow diversion might be a promising treatment option for HFS due to a fusiform vertebral artery aneurysm.

摘要

背景与重要性

由梭形动脉瘤引起的半面痉挛（HFS）罕见且难以治疗。我们报告首例因梭形动脉瘤导致的HFS成功进行血管内血流导向治疗的病例。

临床表现

一名46岁男性因右侧梭形椎动脉动脉瘤压迫面神经VII根出口区，右侧HFS已持续6个月。他成功接受了血流导向治疗，HFS立即消失。治疗后3个月的随访数字减影血管造影显示动脉瘤完全消退。

结论

血流导向可能是治疗因梭形椎动脉动脉瘤导致的HFS的一种有前景的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4245/11810004/bc1a87ed17eb/neuopen-4-e00027-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4245/11810004/8d206dac8f8f/neuopen-4-e00027-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4245/11810004/bc1a87ed17eb/neuopen-4-e00027-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4245/11810004/8d206dac8f8f/neuopen-4-e00027-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4245/11810004/bc1a87ed17eb/neuopen-4-e00027-g002.jpg

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Risk factors for medullary infarction after endovascular trapping of vertebral artery dissecting aneurysms.椎动脉夹层动脉瘤血管内栓塞术后延髓梗死的危险因素。
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Hemifacial spasm and jugular foramen syndrome caused by diametrically opposite aneurysms on the vertebral artery.椎动脉上直径相对的动脉瘤导致的半面痉挛和颈静脉孔综合征。
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