Johnsen S D, Okamoto G, Kooiker J
Neurology. 1977 Apr;27(4):334-6. doi: 10.1212/wnl.27.4.334.
A giant fusiform aneurysm of the basilar artery was present in a 10-year-old boy with a 2-year history of intermittent headaches and the acute onset of neurologic signs. Elevated sedimentation rate, cerebrospinal fluid pleocytosis, and an apparent response to corticosteroid therapy suggest a chronic inflammatory vascular process. The uniqueness of this aneurysm in a child and the possible underlying arteriopathies are discussed.
一名10岁男孩患有基底动脉巨大梭形动脉瘤,有2年间歇性头痛病史并急性出现神经体征。血沉升高、脑脊液细胞增多以及对皮质类固醇治疗有明显反应提示存在慢性炎症性血管病变。本文讨论了该儿童动脉瘤的独特性以及可能的潜在动脉病变。