15例伴发颅内动脉瘤的烟雾病DSA结果分析  

The Analysis of DSA Results of 15 Cases Moyamoya Diseases Accompanied With Intracranial Aneurysm

作　　者：王丽娟[1] 冯淑华[1] 董伟华[1] 

机构地区：[1]松原市中心医院神经内科,吉林松原138000

出　　处：《中国医药指南》2012年第30期53-54,共2页Guide of China Medicine

摘　　要：目的探讨烟雾病伴发动脉瘤的发病情况及临床意义。方法回顾脑血管造影证实的15例烟雾病伴发动脉瘤病例,并分析其DSA造影结果。结果颅内血肿3例,第例1个动脉瘤分别位于wills环周围,穿去动脉及豆纹动脉。蛛网膜下腔出血6例,5例动脉瘤位于wills环周围,1例位于脉络膜前动脉。1例脑室出血,动脉瘤位于脉络膜后动脉。5例脑缺血性脑血管病例,动脉瘤均位于wills环周围。结论烟雾病伴发动脉瘤可导致颅内出血,DSA可确诊并对进一步治疗有指导意义。Objective To investigate the occurrence and clinical significance of Moyamoya disese accompanied with intracranial aneuryse.Methods The DSA results of 15 cases of Moyamoya diseases accompanied with intracranial aneurysm were reviewed and analyzed respectively.Results Every one of 3 cases of intracranial hemorrhage had one aneurysm,that were located around the circle of wills,perforating artery and leticulostriate artery respectively.1 case of inraventicular hemorrhage with 1 aneurysm located in pictorial chorodial artery.5 aneurysms of 6 SAH cases were located around the circle of wills,and the rest one located in anterior chorodal artery.The aneurysms of 5 ischemic cases were all located around the circle of wills.Conclusions Moyamoya disease accompanied with intracranial aneurysm is one of the causes of intracranial hemorrhage,DSA Can make accurate diagnosis and guide the next treatment.

关 键 词：烟雾病 动脉瘤 DSA 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R732.21[医药卫生—临床医学]