血管内支架-线圈栓塞治疗婴儿破裂性膝动脉瘤1例。

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY
Yigit Can Senol, Halis Emre Ciftci, Naime Dilara Ozkan, Bige Sayin, Ergun Daglioglu
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引用次数: 0

摘要

15个月大的婴儿出现急性躁动发作,以哭闹、拒绝进食为特征,并伴有左臂和左腿的局灶性癫痫发作,持续1-2分钟。癫痫发作后,婴儿入睡,但在送往医院的途中再次出现短暂癫痫发作。在土耳其Mersin的一家私立医院进行的初步评估导致转介到我们的中心,影像学显示左侧额基底区实质内出血。出血扩展至所有脑室及右鞍后区,伴明显右移及脑室增大。CTA证实了上主动脉瘤破裂伴水泡。进行了诊断性血管造影,在没有血肿清除的情况下进行了血管内支架盘绕手术。随访1年,患者症状改善,无神经系统后遗症,MR血管造影显示动脉瘤内无残留填充物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infantile ruptured acom aneurysm treated with endovascular stent-coil embolization: case report.

A 15-month-old infant presented with an episode of acute agitation, characterized by crying, refusal to feed, and a focal seizure involving the left arm and leg lasting 1-2 min. Following the seizure, the infant fell asleep but experienced another brief seizure during transport to the hospital. Initial assessment at a private hospital in Mersin, Turkey, led to a referral to our center, where imaging revealed an intraparenchymal hemorrhage in the left frontobasal region. The hemorrhage extended into all ventricles and the right retrosellar area, with notable rightward shift and ventricular enlargement. CTA confirmed a ruptured Acom aneurysm with a bleb. Diagnostic angiography was performed, and an endovascular stent coiling procedure was performed without hematoma evacuation. At 1-year follow-up, patients' symptoms improved without neurological sequelae, and MR angiography revealed no residual filling in the aneurysm.

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来源期刊
BMC Neurology
BMC Neurology 医学-临床神经学
CiteScore
4.20
自引率
0.00%
发文量
428
审稿时长
3-8 weeks
期刊介绍: BMC Neurology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of neurological disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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