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題 名 | Distal Anterior Cerebral Artery Aneurysm : an Infrequent Cause of Transient Ischemic Attack Followed by Diffuse Subarachnoid Hemorrhage : Report of a Case=遠端前大腦動脈動脈瘤 : 先以短暫性腦缺血表現後繼發瀰漫性蜘蛛網膜下腔出血 : 病例報告 |
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作 者 | 王哲川; 邱仲慶; 曾建人; 郭進榮; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 43:5 2010.09-10[民99.09-10] |
頁 次 | 頁248-252 |
分類號 | 416.29 |
關鍵詞 | 遠端前大腦動脈動脈瘤; 短暫性腦缺血; 瀰漫性蜘蛛網膜下腔出血; Ischemic stroke; , diffuse subarachnoid Hemorrhage; Cerebral aneurysm; |
語 文 | 英文(English) |
英文摘要 | We report a 54-year-old female who presented with a wide-based saccular aneurysm distal to the junction of the right pericallosal and callosomarginal arteries, showing acute onset of transient ischemia stroke initially, followed by diffuse spontaneous subarachnoid hemorrhage and supracallosal, intraventricular hemorrhage. Rotational 3-dimensional digital subtraction angiography clearly indicated the aneurysm location and shape. Pre-operatively, her Hunt and Hess grading was IV. Craniotomy with aneurysm trapping was performed in the acute stage. Postoperatively, her consciousness gradually improved but left hemipsresis remained. This clinical presentation, to our knowledge, has not been previously reported. We would like to emphasize that in patients with transient ischemic attacks presenting with hemiparesis, the possibility of a distal cerebral arterial aneurysm should be taken into consideration for prompt and appropriate management. |
本系統中英文摘要資訊取自各篇刊載內容。