Endo M, Ochiai C, Watanabe K, Yoshimoto Y, Wakai S
Department of Neurosurgery, Dokkyo University School of Medicine.
No Shinkei Geka. 1996 Oct;24(10):961-4.
We report a 12-year-old with intracerebral hematoma and subarachnoid hemorrhage secondary to the rupture of a peripheral lenticulostriate artery aneurysm. We carried out proximal clipping of the lateral lenticulostriate artery at the middle cerebral artery following six days of continuous ventricular drainage for acute hydrocephalus. Postoperative angiography confirmed the obliteration of the aneurysm. The girl was discharged without any neurologic deficits. To our knowledge, this is a first reported case in the literature of a ruptured peripheral lenticulostriate artery aneurysm in childhood. The pathogenesis of such an aneurysm and the treatment modalities are discussed.
我们报告了一名12岁儿童,其因外侧豆纹动脉动脉瘤破裂继发脑内血肿和蛛网膜下腔出血。在对急性脑积水进行连续六天的脑室引流后,我们对大脑中动脉处的外侧豆纹动脉进行了近端夹闭。术后血管造影证实动脉瘤已闭塞。该女孩出院时无任何神经功能缺损。据我们所知,这是文献中首次报道的儿童期外侧豆纹动脉动脉瘤破裂病例。本文讨论了此类动脉瘤的发病机制及治疗方式。