Two Cases of Cerebral Aneurysms in HIV+ Children
Two Cases of Cerebral Aneurysms in HIV+ Children
复制标题
艾滋病儿童脑动脉瘤两例
作者：
B. B. Fulmer;S. Dillard;Elizabeth M. Musulman;C. Palmer;J. Oakes
本文报告两例人类免疫缺陷病毒（HIV）阳性儿童的梭形脑动脉瘤。据我们所知，只有9例患者报告了这种关联。我们的一个病人代表了第一次报告的病人与动脉瘤相关的水痘带状血管炎。1例患者出现蛛网膜下腔出血，Hunt-Hess IV级，造成手术治疗困难。另一名患者发生脑梗死，导致轻偏瘫。第一名患者进行了脑室造口术，最初得到改善，随后死于再出血。第二名患者在医疗管理下有所改善。艾滋病动脉病变，特别是梭形动脉瘤，正在越来越多地报告。根据其他艾滋病相关综合征，这种具有手术挑战性的实体的各种表现构成了困难的管理决策。有时，颅内动脉瘤可能是最初的表现形式，如我们的第一个病人。
Two cases of fusiform cerebral aneurysms in human immunodeficiency virus (HIV) positive children are presented. To our knowledge, only 9 patients with this association have been reported. One of our patients represents the first report of a patient with an aneurysm associated with varicella-zoster vasculitis. One patient presented with a subarachnoid hemorrhage, Hunt-Hess grade IV, and posed difficult surgical management. The other patient suffered a cerebral infarct with a resulting hemiparesis. The first patient had a ventriculostomy placed, initially improved, and subsequently died from rebleeding. The second patient improved with medical management. AIDS arteriopathy, and specifically fusiform aneurysms, are being increasingly reported. The various presentations of this surgically challenging entity in light of other AIDS-related syndromes pose difficult management decisions. On occasion, the intracranial aneurysm may be the initial form of presentation as was present in our first patient.
小儿获得性免疫缺陷综合征 (AIDS) 脑动脉瘤性动脉病中 HIV 表位的免疫组织化学定位。
DOI：
10.3109/15513818909022373
发表时间：
1989
期刊：
Pediatric pathology
影响因子：
--
作者：
Kure,K;Park,YD;Kim,TS;Lyman,WD;Lantos,G;Lee,S;Cho,S;Belman,AL;Weidenheim,KM;Dickson,DW
通讯作者：
Dickson,DW