| 摘要: |
| ［摘要］ 目的 探讨烟雾病合并颅内动脉瘤病人的临床特点,为临床诊断和治疗提供依据。方法 回顾性分析8例烟雾病合并颅内动脉瘤患者的临床表现、动脉瘤位置及治疗方法。结果 8例烟雾病患者中4例表现为蛛网膜下腔出血,2例表现为脑室出血，2例表现为缺血性脑卒中;4个动脉瘤位于颅底动脉环周围,2个位于基底动脉顶端,1个位于椎动脉,1个位于脉络膜前动脉;其中5例行介入栓塞治疗,均获良好疗效。结论 烟雾病合并颅内动脉瘤病人根据其位置的不同,可考虑采取不同的治疗方式，对累及血管及后循环血流动力学性动脉瘤可采取介入栓塞治疗,对累及侧支循环的动脉瘤（外周动脉型动脉瘤）的治疗有待进一步探讨。 |
| 关键词: 烟雾病 颅内动脉瘤 介入治疗 |
| DOI：10.3969/j.issn.1674-3806.2012.01.07 |
| 分类号:R 732.2+ |
| 基金项目: |
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| Clinical analysis of moyamoya disease associated with intracranial aneurysms: Report of 8 cases |
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MAO Zhong-chen, FU Zhi-xin,GAO Tiang
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Neurology-Intensive Care Unit,Kaifeng First People′s Hospital,Henan 475000,China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical characteristics of moyamoya disease associated with intracranial aneurysms,and to provide evidence for clinical treatment and diagnosis.Methods A retrospective analysis of the clinical data of 8 patients with Moyamoya disease associated with intracranial aneurysms was performed, including the clinical symptoms, distribution of aneurysms and treatment method.Results Among the 8 patients, 4 presented with SAH, 2 patients presented with ischaemic stroke,and 2 patients presented with ventricle hemorrhage. Distribution of the 8 aneurysms was:4 around the circle of Willis,2 on the top of base artery,1 in vertebray artery，1 in choroid anterior artery. Five patients received intervention embolization procedures with a favorable outcome.Conclusion According to the distribution of the aneurysms, the different treatment can be applied. Intervention embolization procedures can be applied to aneurysms in the artery of moyamoya disease or posterior circulation aneurysm,and the treatment for aneurysms found on the collateral vessels(peripheral artery) need a further discussion, because no appropriate surgical method to treat it is available now. |
| Key words: Moyamoya disease Intracuanial aneurysm Intervention |
