Isolated Cervical Ruptured Radiculomedullary Artery Aneurysm Predominantly Presenting as Supratentorial Subarachnoid Hemorrhage: Case Report and Review of the Literature.
Isolated Cervical Ruptured Radiculomedullary Artery Aneurysm Predominantly Presenting as Supratentorial Subarachnoid Hemorrhage: Case Report and Review of the Literature.
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主要表现为幕上蛛网膜下腔出血的孤立性颈椎根髓动脉瘤破裂：病例报告及文献复习
DOI：
10.3390/brainsci12050519
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发表时间：
2022-04-20
期刊：
影响因子：
3.3
通讯作者：
Dai, Linsun
中科院分区：
文献类型：
--
作者：
Chen, Fuxiang;Lu, Wen;Lian, Baoqiang;Kang, Dezhi;Dai, Linsun
起源于颅外椎动脉分支的脊髓动脉瘤并不常见。大多数患者最终诊断为幕下或脊髓蛛网膜下腔出血（SAH）。在此，我们报告了一个极其罕见的病例，破裂的脊髓动脉瘤，主要表现为幕上蛛网膜下腔出血。一名68岁的女性最初显示头部计算机断层扫描血管造影阴性SAH，Hunt-Hess分级为3级，而数字减影血管造影证实了C2水平V2段内侧升分支的孤立性神经根髓质动脉瘤。患者在混合手术室接受手术。她最初尝试弹簧圈栓塞，但最终通过单侧椎板切除术成功夹闭动脉瘤。遗憾的是，由于进行性脑血管痉挛引起的并发症，本病例的临床结局较差。总之，血管造影对这种罕见的囊性病变的明确诊断具有重要价值。混合手术室可能是治疗破裂脊髓动脉瘤的可行选择。
A spinal artery aneurysm originating from the branch of the extracranial vertebral artery is uncommon. Most of them were finally diagnosed due to the evidence of infratentorial or spinal subarachnoid hemorrhage (SAH). Herein, we report an extremely rare case of a ruptured spinal artery aneurysm which predominantly presented with supratentorial SAH. A 68-year-old woman was initially revealed cranial computed tomographic angiographically negative SAH with a Hunt-Hess grade of 3, while the digital subtraction angiography confirmed an isolated radiculomedullary aneurysm arising from the medial ascending branch of V2 segment at C2 level. The patient underwent surgery in a hybrid operating room. She was originally attempted with coil embolization, but successful clipping of the aneurysm was achieved through unilateral laminectomy at last. Regrettably, the current case suffered a poor clinical outcome due to the complications caused by progressive cerebral vasospasm. In summary, angiogram is of great value for this rare kind of aneurysmal definitive diagnosis. A hybrid operating room may be a feasible choice for the ruptured spinal artery aneurysm.
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DOI：
10.2176/nmccrj.cr.2020-0178
发表时间：
2021
期刊：
NMC case report journal
影响因子：
--
作者：
Kawai N;Tatano M;Imoto R;Hirashita K;Yunoki M;Yoshino K
通讯作者：
Yoshino K
影响因子：
2
作者：
Bojanowski, Michel W.;Stefanovic, Katarina;Chaalala, Chiraz
通讯作者：
Chaalala, Chiraz
影响因子：
0.7
作者：
Ngoc Hoang Nguyen;Vien Chi Le;Thang Huy Nguyen
通讯作者：
Thang Huy Nguyen
影响因子：
2.8
作者：
Taniura, S;Watanebe, T
通讯作者：
Watanebe, T
影响因子：
4.5
作者：
Ikeda, Shunsuke;Takai, Keisuke;Kurita, Hiroki
通讯作者：
Kurita, Hiroki