Mizuno M, Yamanouchi Y, Oka N, Someda K, Matsumura H
No Shinkei Geka. 1985 Jun;13(6):661-7.
In rare occasions, patients with aortitis syndrome have cerebral aneurysms and only seven cases have been reported so far. A case of aortitis syndrome complicated with basilar bifurcation aneurysm is reported. A 58-year-old woman, who had been hypertensive for 20 years and was diagnosed as pulseless disease 10 years ago, suddenly had severe headache and became unconscious on Feb. 17, 1983. Spinal tap performed 3 days after the onset demonstrated bloody cerebrospinal fluid. She was referred to our clinic 8 days following the ictus of subarachnoid hemorrhage. On admission, she was drowsy and had headache, neck stiffness, disorientation and left hemiparesis. Pulsation of the left common carotid and left radial artery was unpalpable. Angiography through the intraaortic catheter revealed occlusion of the left common and left subclavian arteries at their origin, confirming aortitis syndrome. Through the patent right vertebral artery, basilar artery was visualized and an aneurysm at the basilar bifurcation was noted. Seven cases reported in the literature were reviewed.
在极少数情况下，大动脉炎综合征患者会出现脑动脉瘤，迄今为止仅报道过7例。本文报道1例大动脉炎综合征合并基底动脉分叉部动脉瘤的病例。一名58岁女性，有20年高血压病史，10年前被诊断为无脉症，1983年2月17日突然出现剧烈头痛并昏迷。发病3天后进行的腰椎穿刺显示脑脊液呈血性。蛛网膜下腔出血发作8天后她被转诊至我院门诊。入院时，她嗜睡，伴有头痛、颈部僵硬、定向障碍和左侧偏瘫。左侧颈总动脉和桡动脉搏动未触及。经主动脉内导管造影显示左颈总动脉和左锁骨下动脉起始部闭塞，确诊为大动脉炎综合征。通过通畅的右椎动脉，可见基底动脉，并注意到基底动脉分叉处有一个动脉瘤。对文献报道的7例病例进行了回顾。
