Lan M Y, Liu J S, Chang Y Y, Lin S H, Chen W H, Chen S S
Department of Neurology, Kaohsiung Medical College, Taiwan ROC.
J Formos Med Assoc. 1995 Nov;94(11):692-4.
Although the correlation between fibromuscular dysplasia (FMD) and intracranial aneurysm is well established, the combination of FMD with a giant aneurysm is rare. This paper reports a patient with extracranial FMD associated with a giant intracavernous aneurysm compromising the trigeminal and abducens nerve. A review of the literature uncovered only four documented cases of FMD with concurrent giant intracranial aneurysms. The present case adds further weight to the argument for including FMD in the differential diagnosis list when confronted with a patient with a giant intracranial aneurysm. Absence of adequate collaterals in this patient eliminated ligation as a treatment strategy for the aneurysm.
尽管纤维肌发育异常（FMD）与颅内动脉瘤之间的相关性已得到充分证实，但FMD合并巨大动脉瘤的情况却很罕见。本文报告了1例患有颅外FMD并伴有巨大海绵窦内动脉瘤的患者，该动脉瘤压迫三叉神经和展神经。文献回顾仅发现4例有记录的FMD合并巨大颅内动脉瘤的病例。本病例进一步支持了在面对患有巨大颅内动脉瘤的患者时，将FMD列入鉴别诊断清单的观点。该患者缺乏足够的侧支循环，排除了将结扎作为动脉瘤治疗策略的可能性。
