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目的 探讨烟雾病伴发动脉瘤的发病情况及其临床意义。方法 回顾性总结我院 12年遇到的 2 5 8例烟雾病病人 ,其中 2 2例伴发脑动脉瘤 ,临床发病为急性卒中型 12例 ,缓慢起病者 10例 ,全部病例均经全脑血管造影证实。结果 伴发的动脉瘤为外周动脉型 18例 ,占 81.81% ,其中载瘤动脉为穿支动脉者 6例 ,豆纹动脉者 7例 ,后脉络膜动脉 4例。大动脉型 4例 ,占 18.19%。结论 烟雾病伴发动脉瘤破裂可导致颅内出血 ,CT可查明血肿部位而DSA检查常可确诊 ;大动脉型者可用血管内栓塞治疗 ,外周动脉型者治疗目前尚无一理想方法 ,有待进一步探讨
Objective To investigate the incidence and clinical significance of moyamoya disease with aneurysm. Methods A retrospective review of 258 cases of moyamoya disease encountered in our hospital in 12 years, of which 22 cases with cerebral aneurysm, clinical onset of acute stroke in 12 cases, 10 cases of slow onset, all cases were all Cerebral angiography confirmed. Results The aneurysm associated with peripheral artery type was 18 cases (81.81%). Among them, there were 6 cases of perforating artery, 7 cases of bean vein artery and 4 cases of posterior choroidal artery. 4 cases of aorta, accounting for 18.19%. Conclusion Moyamoya disease ruptured aneurysm can lead to intracranial hemorrhage, CT can identify the site of the hematoma and DSA can often confirm diagnosed; aortic type can be treated with endovascular embolization, peripheral arterial type of treatment is currently no ideal method to be further explored