a2段小脑前下动脉瘤破裂血管内母动脉闭塞后神经系统并发症的恢复1例

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2025-05-16 DOI:10.1007/s00701-025-06517-4

Young-Soo Chang, Sun-Yoon Chung

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引用次数: 0

摘要

小脑前下动脉a2段动脉瘤的非球囊形态的发生率高，迫使母动脉闭塞（PAO）作为治疗。发达的小脑膜侧支和搭桥手术可以减少缺血性并发症的发生，但如果在涉及内听动脉起源的段上进行PAO，并发症是难以避免的。很少有研究清楚地描述了a2动脉瘤PAO后神经功能缺损的临床过程。我们报告一例a2动脉瘤破裂行血管内包膜手术后，听前庭功能丧失及面瘫后恢复的病例，并讨论包膜手术的指征。

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Recovery of neurological complications following endovascular parent artery occlusion of ruptured a2 segment anterior inferior cerebellar artery aneurysm: a case report

Aneurysms of the a2 segment of the anterior inferior cerebellar artery have a high incidence of nonsacullar morphology compelling parent artery occlusion (PAO) as treatment. Well-developed leptomeningeal collaterals and bypass surgery may reduce the occurrence of ischemic complications, but if PAO was made on the segment involving the origin of the internal auditory artery, complications are challenging to avoid. Few studies have clearly described the clinical course of neurologic deficits following PAO of a2 aneurysms. We report a case which recovered from audiovestibular loss and facial palsy after endovascular PAO of a ruptured a2 aneurysm and discuss indication of PAO.

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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.