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題 名 | Giant Basilar Tip Aneurysm Presented with Top of the Basilar Syndrome: A Case Report=巨大基底動脈終端血管瘤臨床表現為基底動脈終端症候群:一病例報告 |
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作 者 | 蔡宗璋; 李正淳; 周碩彬; 沈戊忠; | 書刊名 | 中國醫藥雜誌 |
卷 期 | 2:4 1997.12[民86.12] |
頁 次 | 頁249-253 |
分類號 | 415.93 |
關鍵詞 | 基底動脈終末端症候群; 基底動脈血管瘤; 磁振造影; 電腦斷層攝影; 磁振造影血管攝影; 電腦斷層血管攝影; Top of the basilar syndrome; Basilar tip aneurysm; CT scan; MRI; 3D CT angiography; |
語 文 | 英文(English) |
中文摘要 | 基底動脈終端血管瘤罕見以急性腦梗塞表現,文獻上這類的報告也不多。病患是一位八十四歲老婦人,因突發意識障礙、嗜睡、右側動眼神經麻痺、斜頸向左側及左側肢體偏癱,臨床診斷為基底動脈終端症候群。電腦斷層攝影及磁振造影檢查顯示在右側中腦及視丘有急性梗塞,並意外發現一個密度很高的腫瘤在蝶鞍上腦池部位,高度懷疑是顱內血管。 因病人病情不適合做侵入性檢查,故以新發展之三維電腦斷層血管攝影取代傳統血管攝影。結果電腦斷層血管攝影清楚地辨認出這是一個源自基底動脈終端之巨大血管瘤。 以電腦斷層血管攝影診斷顱內血管瘤曾經有文獻報告過,本病例亦成功地運用在診斷巨人基底動脈終端血管瘤。 |
英文摘要 | An 84 year-old female presented with top of the basilar syndrome, including sudden onset of hypersomnolence, right oculomotor paresis, hyperconvergence, skew deviation, and left-sided weakness. Computed tomography (CT scan) and the magnetic resonance imaging (MRI) showed acute infarctions in the right side of the midbrain and right thalamus. These neuroimage studies also disclosed a high density mass in suprasellar cistern, which was highly suspected as being an intracranial aneurysm. Because of poor clinical condition, we used a modern technique of reconstructed three-dimensional computed tomographic angiography (3D CTA) instead of conventional angiography. It clearly demonstrated a giant aneurysm arising from the tip of the basilar artery. We believed that was a close relation between the clinical symptoms and the basilar tip aneurysm in this patient. |
本系統中英文摘要資訊取自各篇刊載內容。