A ruptured dissecting aneurysm of the anterior radiculomedullary artery caused by vertebral angiography

A ruptured dissecting aneurysm of the anterior radiculomedullary artery caused by vertebral angiography
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DOI:
10.1007/s002340000322
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发表时间:
2000-07-01
期刊:
影响因子:
2.8
通讯作者:
Watanebe, T
Watanebe, T
中科院分区:
医学3区
文献类型:
--
作者:
Taniura, S;Watanebe, T

文献摘要

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我们在此报告一名 54 岁男性,其颈椎前根髓动脉出现动脉瘤。该动脉瘤在脑部血管异常的椎体血管造影后破裂,呈梭形,血管造影后有血栓形成,考虑到后续的放射学研究和临床过程,考虑到血管造影引起的夹层动脉瘤。 MRI 显示颈脊髓严重肿胀,脊髓前动脉区域有梗塞。讨论了这种罕见并发症的机制。
We report here a 54-yearold man with an aneurysm arising on a cervical anterior radiculomedullary artery. The aneurysm ruptured just alter vertebral angiography for a vascular anomaly of the brain, and it appeared to be fusiform, with thrombosis following angiography, Considering the sequential radiological studies and clinical course, it was assumed to be a dissecting aneurysm caused by the angiography. MRI showed severe swelling of the cervical spinal cord and an infarct in the territory of the anterior spinal artery. The mechanism of this rare complication is discussed.