Kuwahara K, Endo S, Okada H, Sakurai Y
No Shinkei Geka. 1980 Jun;8(6):551-5.
Two cases revealed only small bulging at ICPC junction on carotid angiogram after subarachnoid hemorrhage were reported. One case was treated conservatively and other was operated. The diagnosis and operative indication of these cases were discussed. The authors think that all of these cases, whether these bulging are classified angiographically as aneurysm or junctional dilatation, should be operated positively when CT scan shows high density area due to subarachnoid hemorrhage around them and there are no other findings inducing subarachnoid hemorrhage on angiograms.
报告了两例蛛网膜下腔出血后颈动脉血管造影显示颈内动脉海绵窦段交界处仅有小的膨出的病例。一例保守治疗,另一例接受了手术。对这些病例的诊断和手术指征进行了讨论。作者认为,所有这些病例,无论这些膨出在血管造影上被归类为动脉瘤还是交界处扩张,当CT扫描显示其周围因蛛网膜下腔出血而有高密度区且血管造影上没有其他导致蛛网膜下腔出血的发现时,都应积极进行手术。