[1]陈　刚　李欢欢　李　俊　盛柳青　潘　力　杨　铭　徐国政　马廉亭.感染性颅内动脉瘤的诊治分析[J].中国临床神经外科杂志,2016,(10):577-579.[doi:10.13798/j.issn.1009-153X.2016.10.001]
　CHEN Gang,LI Huan-huan,LI Jun,et al.Diagnosis and treatment of infectious intracranial aneurysms[J].,2016,(10):577-579.[doi:10.13798/j.issn.1009-153X.2016.10.001]
点击复制

感染性颅内动脉瘤的诊治分析()
分享到：

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年10期
页码:
577-579
栏目:
论著
出版日期:
2016-10-24

文章信息/Info

Title:
Diagnosis and treatment of infectious intracranial aneurysms
文章编号:
1009-153X（2016）10-0577-03
作者:
陈　刚　李欢欢　李　俊　盛柳青　潘　力　杨　铭　徐国政　马廉亭
430070 武汉，中国人民解放军武汉总医院神经外科
Author(s):
CHEN Gang;  LI Huan-huan;  LI Jun;  SHENG Liu-qing;  PAN Li;  YANG Ming;  XU Guo-zheng;  MA Lian-ting.
Department of Neurosurgery, Wuhan General Hospital, PLA, Wuhan 430070, China
关键词:
感染性颅内动脉瘤; 血管内栓塞治疗; 动脉瘤夹闭术; 疗效
Keywords:
Infectious intracranial aneurysm;  Treatment;  Endovascular embolization;  Microsurgery
分类号:
R 743.9; R 815.2
DOI:
10.13798/j.issn.1009-153X.2016.10.001
文献标志码:
A
摘要:
目的 探讨感染性颅内动脉瘤的诊治方法。方法 回顾性分析2008~2013年收治的8例感染性颅内动脉瘤的临床资料。结果 8例患者行头颅CT证实有颅内出血；1例行CTA检查，7例行DSA检查；动脉瘤位于大脑后动脉P3段1例，大脑后动脉P4段4例，大脑中动脉M5段2例，大脑前动脉A4段1例。3例行开颅手术；4例行血管内介入栓塞；1例因载瘤动脉太细，未行血管内栓塞治疗，给予保守治疗。所有病例均恢复良好，无死亡病例；1例遗留左侧肢体偏瘫，其余7例出院时均无神经功能缺失。术后随访3~6个月均未见复发。结论 感染性颅内动脉瘤是一种特殊类型的动脉瘤，应根据患者全身情况及颅内动脉瘤类型进行个体化治疗。
Abstract:
Objective To explore the diagnosis and treatment of infectious intracranial aneurysm. Methods The clincal data of 8 patietns with infectious intracranial aneurysms who admitted to our hospital between 2008 and 2013 were analyzed retropective. Results The intracranial hemorrhage was observed by CT in 8 patients, of whom 1 received CTA examination and 7 DSA examination. Of 8 aneurysms confirmed by CTA or DSA, 2 were located in the fifth segments of the right middle cerebral arteries, 1 in the third segment of posterior cerebral artery , 4 in the forth segments of posterior cerebral arteries and 1 in the forth segment of anterior cerebral artery. Of 8 patients with aneurysms, 4 were treated by endovascular embolization, 3 by microsurgery and 1 was conservatively treated after the endovascular embolization failed of success. There were no neurological deficits in 7 patients and there was limb paralysis in 1 patient on discharge from hospital. No patients died of operation. The following-up from 3 to 6 months showed that no aneurysms recurred in all the patients. Conclusion The infectious intracranial aneurysm is a special type of aneurysm and should be individually treated according to the patient’s systemic condition and the type of intracranial aneurysm.

参考文献/References:

[1] Inoue T, Obana M, Yamamoto T. Infective endocarditis complicated by ruptured mycotic cerebral aneurysm that necessitated open heart surgery after craniotomy: report of a case [J]. Kyobu Geka, 2013, 66(10): 934-937.
[2] Ducruet AF, Hickman ZL, Zacharia BE, et al. Intracranial infectious aneurysms: a comprehensive review [J]. Neuro- surg Rev, 2010. 33(1): 37-46.
[3] Peters PJ, Harrison T, Lennox JL. A dangerous dilemma: management of infectious intracranial aneurysms complica- ting endocarditis [J]. Lancet Infect Dis, 2006, 6(11): 742- 748.
[4] Kundra SN. Management of intracranial infectious aneury- sms: a series of 16 cases [J]. Neurosurgery, 2003, 53(1): 245-246.
[5] van de Beek D, Rabinstein AA, Peters SG, et al. Staphylo- coccus endocarditis associated with infectious vasculitis and recurrent cerebral hemorrhages [J]. Neurocrit Care, 2008, 8 (1): 48-52.
[6] Chun JY, Smith W, Halbach VV, et al. Current multimoda- lity management of infectious intracranial aneurysms [J]. Neurosurgery, 2001, 48(6): 1203-1214.
[7] 盛柳青，李　俊，陈　刚，等. MRI与DSA三维影像数据输 入神经导航融合行脑深部血管病直视手术的探讨[J]. 中 国临床神经外科杂志，2015，20：193-197.

相似文献/References:

[1]吴　阳　李　明　王　斌　刘义峰　李　巍.血管内栓塞治疗颅内破裂动脉瘤的近期疗效及其对患者免疫功能的影响[J].中国临床神经外科杂志,2017,(01):17.[doi:10.13798/j.issn.1009-153X.2017.01.006]
　WU Yang,LI Ming,WANG Bin,et al.Short-term curative effect of endovascular embolization on ruptured intracranial aneurysms and its influence upon immune function[J].,2017,(10):17.[doi:10.13798/j.issn.1009-153X.2017.01.006]
[2]严启荣　付　强　张　珊　王　莉　潘丽萍.颅内动脉瘤血管内治疗围手术期护理体会[J].中国临床神经外科杂志,2017,(08):589.[doi:10.13798/j.issn.1009-153X.2017.08.024]
[3]卢春李　丰育功.显微夹闭术和血管内栓塞治疗颅内后循环动脉瘤的疗效比较[J].中国临床神经外科杂志,2020,(05):261.[doi:10.13798/j.issn.1009-153X.2020.05.002]
　LU Chun-li,FENG Yu-gong..Comparison of curative effect between microsurgical clipping and endovascular embolization for intracranial posterior circulation aneurysms[J].,2020,(10):261.[doi:10.13798/j.issn.1009-153X.2020.05.002]

备注/Memo

备注/Memo:
通讯作者：李　俊，E-mail：13006163722@163.com
更新日期/Last Update: 2016-10-25