Heubner复发动脉瘤破裂1例

C. Hong, Yeongu Chung, Y. Won, P. Chung, M. Rho
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引用次数: 1

摘要

通讯作者:余三元成均馆大学医学院江北三星医院神经外科电话:+82-2-2001-2159传真:+82-2-2001-2157 E-mail: yusam.won@samsung.com Heubner (RAH)动脉瘤是一种极为罕见的动脉瘤,文献报道很少。一名53岁妇女因自发性蛛网膜下腔出血(SAH)被转院评估和处理。脑血管造影显示RAH动脉瘤破裂。沿RAH用开孔直角Yasargil夹固定动脉瘤。术后脑部计算机断层扫描显示尾状核左侧头部低密度病变,原因是RAH闭塞。幸运的是,患者没有出现神经功能障碍。为避免医源性RAH闭塞,术中应仔细确认其血流。我们报告一例RAH动脉瘤患者与SAH。
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Ruptured Aneurysm of Recurrent Artery of Heubner: A Case Report
Corresponding author: Yu Sam Won Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29, Saemunan-ro, Jongno-gu, Seoul 03181, Republic of Korea Tel: +82-2-2001-2159 Fax: +82-2-2001-2157 E-mail: yusam.won@samsung.com Recurrent artery of Heubner (RAH) aneurysms are extremely rare and few cases have been reported in the literature. A 53-year-old woman was transferred for evaluation and management of spontaneous subarachnoid hemorrhage (SAH). Cerebral angiography revealed a rupture of RAH aneurysm. The aneurysm was secured with a fenestrated right-angled Yasargil clip along the RAH. Postoperative brain computed tomography showed a hypodense lesion at the left head of the caudate nucleus due to obliteration of the RAH. Fortunately, the patient experienced no neurologic deficits. To avoid iatrogenic obliteration of RAH, intraoperative careful confirmation of its flow should be performed. We report a case of RAH aneurysm in a patient with SAH.
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