一例在外伤性蛛网膜下腔出血保守治疗过程中发生脑出血的脑膜中动脉假性动脉瘤患者

JNET Pub Date : 2019-05-14 DOI:10.5797/JNET.CR.2018-0104

Seigo Kimura, Ryokichi Yagi, Ryo Tamaki, D. Ogawa, T. Manno, H. Taniguchi, T. Kuroiwa

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引用次数: 0

摘要

目的:我们报告一位73岁男性患者，因外伤性蛛网膜下腔出血、急性硬膜下血肿和脑挫伤，在保守治疗期间外伤性脑膜中动脉假性动脉瘤(PMMA)增加，导致其破裂相关的脑出血。病例介绍:在退役作业中，他从一辆卡车的床上摔了下来，被救护车送到了我们医院。头部CT显示外伤性蛛网膜下腔出血，左侧急性硬膜下血肿及脑挫伤。进行保守治疗。我们在发病20天后观察到与外伤性左脑膜中动脉假性动脉瘤破裂有关的左颞叶出血。急诊血管内治疗及开颅下血肿清除。结论:在颅脑外伤后蛛网膜下腔出血病例中，考虑创伤性PMMA的可能性，应通过CTA和DSA评估一系列变化。

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A Patient with a Pseudoaneurysm of the Middle Meningeal Artery Who Developed Intracerebral Hemorrhage during Conservative Treatment for Traumatic Subarachnoid Hemorrhage

Objective: We report a 73-year-old male in whom a traumatic pseudoaneurysm of the middle meningeal artery (PMMA) increased during conservative treatment for traumatic subarachnoid hemorrhage, an acute subdural hematoma, and brain contusion, leading to intracerebral hemorrhage related to its rupture. Case Presentation: During decommissioning operations, he fell down from the bed of a truck, and was brought to our hospital by ambulance. Head CT revealed traumatic subarachnoid hemorrhage, left acute subdural hematoma, and brain contusion. Conservative treatment was performed. Left temporal lobe hemorrhage related to the rupture of a traumatic pseudoaneurysm of the left middle meningeal artery (MMA) was observed 20 days after onset. Emergency endovascular treatment and hematoma removal under craniotomy were conducted. Conclusion: In cases of subarachnoid hemorrhage after head trauma, serial changes should be assessed using CTA and DSA, considering the possibility of a traumatic PMMA.

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来源期刊

JNET

自引率

0.00%

发文量

审稿时长

17 weeks

期刊介绍： JNET Journal of Neuroendovascular Therapy is the official journal of the Japanese Society for Neuroendovascular Therapy (JSNET). The JNET publishes peer-reviewed original research related to neuroendovascular therapy, including clinical studies, state-of-the-art technology, education, and basic sciences.