大脑前动脉A1段穿支动脉瘤破裂并自发性闭塞一例报道并文献复习

Rupture and Spontaneous Occlusion of Perforator Aneurysms in Segment A1 of Anterior Cerebral Artery:a Case Report and Literature Review

穿支动脉是起源于大脑主要动脉的细长血管,穿支动脉瘤破裂引起的蛛网膜下腔出血很少见。由于微导管经穿支动脉瘤进入动脉瘤瘤体难度相对较大,目前尚无统一的治疗方案,血管内介入治疗也许是治疗穿支动脉瘤的一种相对安全且有效的方法。本文报道1例大脑前动脉A1段穿支动脉瘤破裂并自发性闭塞患者的临床诊疗经过,并复习相关文献,以期为临床诊治提供参考。

Perforating artery is a slender vessel originated from the main cerebral arteries,and subarachnoid hemorrhage caused by ruptured perforator aneurysms is rare.Because it is relatively difficult for the microcatheter to enter the aneurysm through the perforating branch aneurysm,there is no unified treatment plan at present.Intravascular interventional therapy may be a relatively safe and effective method for the treatment of perforator aneurysms.This paper reported the clinical diagnosis and treatment of a patient with ruptured aneurysm of the perforating branch of the A1 segment of the anterior cerebral artery complicated with spontaneous occlusion,and the related literature was reviewed,in order to provide reference for clinical diagnosis and treatment.