摘要
目的探讨椎动脉夹层动脉瘤的临床特征与治疗方法。方法分析我科11例经DSA确诊的椎动脉夹层动脉瘤的临床资料,包括临床表现与影像资料及治疗方法,总结其临床特征与治疗方法的选择及随访情况。结果 11例中蛛网膜下腔出血7例,第四脑室出血1例,脑干梗死1例,后循环TIA 1例,反复头痛头晕1例。有2例CTA检查阴性,经DSA确诊。行血管内治疗10例,1例放弃血管内治疗。随访3个月～3年,未有脑卒中事件发生。结论椎动脉夹层动脉瘤以后颅窝蛛网膜下腔出血起病多见,头痛以枕项部剧痛为主,确诊需DSA,治疗方式以血管内治疗为首选,成功治疗后预后良好。
Objective To explore the clinical characteristics and treatment of vertebral artery dissecting aneurysm.Methods Analyze the clinical data of 11 cases with DSA diagnosed of vertebral artery dissecting aneurysm in our department,including clinical manifestations and imaging data and treatment methods,summarize the clinical characteristics and the selection of treatment and follow-up.Results In 11 cases,7 cases with subarachnoid hemorrhage,1 case with fourth ventricle hemorrhage,1 case with brainstem infarction,1 case with TIA of posterior cerebral circulation,1 case with recurrent headaches and dizzines.For 2 cases CTA check were negative,and confirmed by DSA.Endovascular treatment was performed in 10 cases,and not done in 1 case.No stroke incident was observerd in the follow up of 3 months to 3 years.Conclusion The onset of the vertebral artery dissecting aneurysm with posterior fossa subarachnoid hemorrhage and the headache in the occiput is more common.DSA is the golden standard of diagnosis and treatment is preferred with endovascular treatment,the prognosis is good.
出处
《中风与神经疾病杂志》
CAS
CSCD
北大核心
2013年第6期548-550,共3页
Journal of Apoplexy and Nervous Diseases
关键词
椎动脉
夹层动脉瘤
临床特征
治疗
Vertebral artery
Dissecting aneurysm
Clinical characteristics
Treatment
