- 期刊
Intracranial Arteriovenous Malformation Associated with Two Flow-Related Aneurysms: Report of a Case
顱內動靜脈畸型合併二處血流相關動脈瘤破裂：病例報告
摘要
自發性蜘蛛網膜下腔出血常由顱內動脈瘤或動靜脈畸型破裂造成，且常造成病患嚴重併發症甚至死亡。但由顱內動靜脈畸型合併動脈瘤破裂所造成的出血，少見於臨床報導。在臨床診斷及治療上而言，對於外科醫師是一大挑戰。在此，我們報導一個五十三歲男性患者因蜘蛛網膜下腔出血，診斷出動靜脈畸型合併兩個動脈瘤，經治療後康復。
關鍵字
無資料並列摘要
Ruptured cerebral aneurysms and arteriovenous malformations are the main causes of spontaneous subarachnoid hemorrhage, leading to high morbidity and mortality. The coexistence of intracranial aneurysms and arteriovenous malformations has been rarely reported in the literature. The diagnosis and treatment remain a challenge for clinical physicians. We report hereby a 53-year-old male who presented with severe headache, vomiting and dizziness one hour prior to admission. Two extranidal flow-related small aneurysms with AVMs were demonstrated by angiography. Suboccipital craniectomy with clipping of aneurysms and trapping of AVM was performed. Postoperatively, the patient recovered well and his profound neurological deficits were improved. The relevant literature is also reviewed.
延伸閱讀
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