脑动脉瘤介入治疗后继发脑脓肿:1案例和文献回顾

Cerebral Abscess after Interventional Treatment of Cerebral Aneurysm: Report of 1 Case and Review of the Literature

目的:脑脓肿为血管内治疗的罕见并发症,初步探讨血管内治疗继发脑脓肿的原因、诊断及治疗。方法:本文报告一例颅内动脉瘤经血管内介入栓塞治疗后继发脑脓肿的病例,经治疗完全好转,并回顾文献中关于血管介入治疗后继发脑脓肿的病例。结果:一位50岁女性,因头痛检查发现颅内未破裂动脉瘤,行血管内颅内动脉瘤弹簧圈栓塞术。术后两周继发脑脓肿,抗生素治疗后好转。结论:脑脓肿为血管内治疗的罕见并发症,了解脑脓肿发生的原因以及相应的诊断及治疗措施,保证治疗的安全性。

Objective: Cerebral abscess is a rare complication of endovascular therapy, which should study the causes, diagnosis and treatment of secondary cerebral abscess treated by endovascular interven-tional therapy. Methods: We report a case of cerebral abscess secondary to endovascular emboliza-tion of intracranial aneurysm, which was completely improved after treatment, and review the lit-erature on cerebral abscess secondary to endovascular interventional therapy. Results: A 50- year-old female patient underwent endovascular coil embolization of intracranial aneurysms due to headache. Cerebral abscess appeared two weeks after operation and improved after antibiotic treatment. Conclusions: Although cerebral abscess is a rare complication of endovascular therapy, we should understand the cause of cerebral abscess and the corresponding diagnosis and treatment measures to ensure the safety of treatment.