Eustacchio S, Klein G E, Pendl G
Department of Neurosurgery, Karl-Franzens Medical School, Graz, Austria.
Acta Neurochir (Wien). 1997;139(10):923-7. doi: 10.1007/BF01411300.
A case of a ruptured saccular aneurysm arising from the proximal portion of a partially duplicated basilar artery in a 36-year-old woman is reported. CT and lumbar puncture confirmed subarachnoid haemorrhage. Cerebral angiography detected a vertebrobasilar junction aneurysm associated with basilar artery fenestration. The patient underwent successful clipping and coating of the aneurysm by a right lateral suboccipital osteoclastic approach. Embryological development, pathogenesis, diagnostic and therapeutic difficulties of this vascular malformation are discussed in this report.
报道了一例36岁女性患者，其部分重复的基底动脉近端出现囊状动脉瘤破裂。CT和腰椎穿刺证实为蛛网膜下腔出血。脑血管造影检测到与基底动脉开窗相关的椎基底动脉交界区动脉瘤。患者通过右侧枕下开颅入路成功进行了动脉瘤夹闭和涂层术。本报告讨论了这种血管畸形的胚胎发育、发病机制、诊断和治疗难点。
