颅外椎动脉动脉瘤致脊髓蛛网膜下腔出血——病例报告

Extracranial vertebral artery aneurysm causing spinal subarachnoid hemorrhage--case report.

作者信息

Moriyama E, Kunishio K, Norikane H, Matsumoto Y, Shinohara C, Tokunaga K

机构信息

Department of Neurosurgery, Kagawa Prefectural Central Hospital, Takamatsu.

出版信息

Neurol Med Chir (Tokyo). 1994 Apr;34(4):230-2. doi: 10.2176/nmc.34.230.

DOI:10.2176/nmc.34.230

PMID:7520546

Abstract

A 48-year-old female presented with spinal subarachnoid hemorrhage (SAH) due to the rupture of an extracranial vertebral artery (VA) aneurysm. The aneurysm arose from the junction of the third and the fourth segments of the left VA just inside the dura mater, and was partially coated with Biobond. This is only the second such case reported. We recommend complete four-vessel angiography in evaluating patients with SAH, with special attention given to the extracranial VA if spinal SAH is suspected.

摘要

一名48岁女性因颅外椎动脉（VA）动脉瘤破裂出现脊髓蛛网膜下腔出血（SAH）。动脉瘤起源于左椎动脉第三和第四段交界处硬脑膜内，部分用生物胶覆盖。这是仅有的第二例此类报道病例。我们建议在评估SAH患者时进行完整的四血管造影，若怀疑脊髓SAH，需特别关注颅外VA。