Spontaneous subarachnoid hemorrhage caused by ruptured aneurysm of basilar trunk perforator:a case report and literature review  

作　　者：Yao Wu Zhaoliang Li Dehong Yang Tao Wu Ailin Chen Chungang Dai Qing Zhu 

机构地区：[1]Second Affiliated Hospital of Soochow University,Sanxiang Road 1055,Suzhou 215004,China

出　　处：《Chinese Neurosurgical Journal》2022年第3期209-214,共6页中华神经外科杂志（英文）

基　　金：Suzhou high tech zone medical&health science&technology program(2018Z014);Suzhou science&technology development program(SYS2019067)

摘　　要：Background:Aneurysm of basilar perforator was rarely reported in the literature.It is difficult to treat due to its small size and deep-seated location.Excessive treatment may cause complications that resulted from ischemic events of parent perforators.Therefore,it is important to make clinical strategy for such patients to improve the prognosis.Case presentation:One case,who presented as spontaneous subarachnoid hemorrhage,despite the negative result in computed tomography angiography firstly,was diagnosed angiographically as a ruptured aneurysm of the basilar perforator.A good clinical outcome of the case was achieved during the follow-up after conservative observation for 2 months,as well as the disappearance of previous lesion from angiography.Conclusions:Aneurysm located at perforator of basilar trunk was rare and difficult to treat.Conservative observation for certain cases with periodic angiography follow-up was considered in order to prevent the patients from potential iatrogenic effects.

关 键 词：Basilar trunk Intracranial aneurysm PERFORATOR 

分 类 号：R743.35[医药卫生—神经病学与精神病学]