与莫亚莫亚氏病相关的韧带动脉瘤破裂:病例报告与文献综述

Neuro endocrinology letters Pub Date : 2024-11-04
Zheng Feng, Yongquan Chang, Xingyi Jin, Chao Fu
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引用次数: 0

摘要

导言:在临床上,与莫亚莫亚病(MMD)相关的扁桃体状动脉(LSA)动脉瘤破裂十分罕见,但却具有潜在的出血风险。病例描述:一名 66 岁的妇女出现左侧基底动脉瘤:一名 66 岁的女性因与 MMD 相关的远端 LSA 动脉瘤继发左侧基底节出血并伴有脑室内扩展,随后接受了血管内栓塞治疗。在本报告中,我们回顾了以往所有与MMD相关的LSA动脉瘤破裂病例:结论:出血性 MMD 时应考虑 LSA 动脉瘤破裂,尤其是合并基底节血肿时。LSA动脉瘤的近端和远端似乎有不同的出血类型。本病例强调,对此类动脉瘤的治疗应在权衡收益和风险的基础上因人而异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ruptured Lenticulostriate Artery Aneurysm Associated with Moyamoya Disease: A Case Report and Literature Review.

Introduction: Clinically, ruptured lenticulostriate artery (LSA) aneurysm associated with moyamoya disease (MMD) is rare but represents a potential hemorrhagic risk. Its optimal management remains unknown.

Case description: A 66-year-old woman developed a left basal ganglia hemorrhage with intraventricular extension secondary to an MMD-associated distal LSA aneurysm that was subsequently treated with endovascular embolization. In this report, we review all previous cases of ruptured LSA aneurysms related to MMD.

Conclusion: LSA aneurysm rupture should be considered in the setting of hemorrhagic MMD, especially in combination with basal ganglia hematoma. Proximal and distal LSA aneurysms appear to have different types of hemorrhage. This case highlights that management of such aneurysms should be individualized based on the balance of benefits and risks.

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