Subarachnoid hemorrhage from intracranial dissecting aneurysms of the anterior circulation - Two case reports

被引:36
作者
Hashimoto, H
Iida, J
Shin, Y
Hironaka, Y
Sakaki, T
机构
[1] Okanami Gen Hosp, Dept Neurosurg, Ueno, Mie 5180842, Japan
[2] Nara Med Univ, Dept Neurosurg, Kashihara, Nara 634, Japan
来源
NEUROLOGIA MEDICO-CHIRURGICA | 1999年 / 39卷 / 06期
关键词
subarachnoid hemorrhage; dissecting aneurysm; middle cerebral artery; anterior cerebral artery;
D O I
10.2176/nmc.39.442
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Two rare cases of intracranial dissecting aneurysms of the anterior circulation associated with subarachnoid hemorrhage (SAH) are described. A 56-year-old female presented with a dissecting aneurysm in the proximal segment of the left middle cerebral artery. Proximal occlusion of the affected artery and a superficial temporal artery-middle cerebral artery anastomosis were performed, but the outcome was poor. A 61-year-old male presented with a dissecting aneurysm in the proximal segment of the left anterior cerebral artery. Clipping was enhanced by a piece of fascia lata, allowing patency of the affected artery with a satisfactory outcome. Dissecting aneurysm of the carotid system should be considered in a patient with SAH but no evidence of berry aneurysm.
引用
收藏
页码:442 / 446
页数:5
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