Hyperperfusion syndrome after clipping of an unruptured aneurysm by transsylvian approach: A Case Repot.
Hyperperfusion syndrome after clipping of an unruptured aneurysm by transsylvian approach: A Case Repot.
复制标题
经侧裂入路夹闭未破裂动脉瘤后的过度灌注综合征：病例报告。
DOI：
10.1016/j.inat.2017.01.010
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
A Asai
中科院分区：
文献类型：
--
作者：
R Iwata;K Yoshimura;Y Fujita;T Uesaka;H Oshige;A Asai
一名 68 岁男性采用经侧裂入路并暂时闭塞颈内动脉 3 分钟，夹闭未破裂的左脉络膜前动脉瘤，随后出现症状性高灌注综合征。尽管我们保留了所有邻近血管，但患者术后不久就出现右侧偏瘫和运动性失语。单光子发射计算机断层扫描显示左大脑半球的灌注增加。这些症状和过度灌注在两周内逐渐缓解并完全消失。即使未破裂动脉瘤顺利夹闭后，也应考虑过度灌注综合征。
A 68-year-old man developed symptomatic hyperperfusion syndrome after clipping of an unruptured left anterior choroidal artery aneurysm using a transsylvian approach with temporary internal carotid artery occlusion for 3 min. Although we preserved all adjacent vessels, the patient exhibited right hemiparesis and motor aphasia soon after the operation. Single photon emission computed tomography showed increased perfusion in the left cerebral hemisphere. These symptoms and hyperperfusion gradually resolved and disappeared completely within 2 weeks. Hyperperfusion syndrome should be considered even after uneventful clipping of unruptured aneurysms.