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伴有神经纤维瘤病的颅外椎动脉动脉瘤

Extracranial vertebral aneurysm with neurofibromatosis.

作者信息

Schubiger O, Yasargil M G

出版信息

Neuroradiology. 1978 May 31;15(3):171-3. doi: 10.1007/BF00329063.

DOI:10.1007/BF00329063
PMID:97573
Abstract

With neurofibromatosis neuromas of the cranial and cervical nerves are common findings and meningiomas and ependymonas appear more often than in the average population. Vascular manifestations of the disease are also commonly known in the renal and gastrointestinal vessels but rarely in the large cerebral arteries. The case of a 50 year old man with neurofibromatosis and a vertebral aneurysm is reported. The plain X-ray of the cervical spine and the Pantopaque myelogram were compatible with a cervical neuroma and the patient was operated but a large aneurysm of the vertebral artery was found. The operation was discontinued and vertebral angiography was performed revealing a large saccular aneurysm which war excised. This aneurysm is most probably a manifestation of vascular disease with neurofibromatosis.

摘要

患有神经纤维瘤病时,颅神经和颈神经的神经瘤是常见表现,脑膜瘤和室管膜瘤的出现频率高于普通人群。该疾病的血管表现也常见于肾血管和胃肠道血管,但在大脑大动脉中很少见。本文报道了一名50岁患有神经纤维瘤病且伴有椎动脉动脉瘤的男性病例。颈椎平片和碘苯酯脊髓造影显示与颈神经瘤相符,患者接受了手术,但发现了一个巨大的椎动脉动脉瘤。手术中断,进行了椎动脉血管造影,显示出一个巨大的囊状动脉瘤,随后将其切除。这个动脉瘤很可能是神经纤维瘤病血管病变的一种表现。

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