血管冠破裂假性动脉瘤1例报告并文献复习

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-04-22 DOI:10.1007/s00701-025-06531-6

Hikaru Nakamura, Tsuyoshi Izumo, Kazuaki Okamura, Shota Yoshimura, Nozomi Ueki, Shiro Baba, Kenta Ujifuku, Yoichi Morofuji, Takeshi Hiu, Koichi Yoshida, Takayuki Matsuo

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引用次数: 0

摘要

在没有脑动静脉畸形或硬脑膜动静脉瘘的情况下，与血管冠相关的破裂动脉瘤或假性动脉瘤极为罕见，但应被认为是蛛网膜下腔出血（SAH）的可能原因。我们报告一例51岁女性，因血管冠状假性动脉瘤破裂而表现为SAH，无椎动脉或小脑后下动脉相关解剖异常。她在直接手术后康复。在以前的病例中，由于小脑后下动脉异常导致脊髓前动脉扩张，促使血管内治疗。彻底的评估仍然至关重要，直接手术可能有效。

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A case of vasa corona ruptured pseudoaneurysm: case report and review of literature

Ruptured aneurysms or pseudoaneurysms associated with the vasa corona, in the absence of cerebral arteriovenous malformation or dural arteriovenous fistula, are extremely rare but should be recognized as a possible cause of subarachnoid hemorrhage (SAH). We report the case of a 51-year-old female who presented with SAH due to a ruptured vasa corona pseudoaneurysm, with no associated anatomical abnormalities involving the vertebral artery or the posterior inferior cerebellar artery. She recovered after direct surgery. In previous cases, anterior spinal artery dilatation due to posterior inferior cerebellar artery anomalies prompted endovascular treatment. A thorough assessment remains crucial, and direct surgery can be effective.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.