烟雾病合并动脉瘤的诊疗  

Diagnosis and Treatment of Moyamoya Disease Combined with Intracranial Aneurysm

作　　者：咸鹏[1] 段炼[1] 

机构地区：[1]中国人民解放军第307医院神经外科,北京100071

出　　处：《中国卒中杂志》2013年第9期764-767,共4页Chinese Journal of Stroke

基　　金：国家自然科学基金资助项目(81171083);首都医学发展科研基金重点项目(2007-2028)

摘　　要：烟雾病合并动脉瘤的形成可能与血流动力学改变相关,临床上多表现为不同类型的颅内出血,也可表现为脑缺血,主要依靠数字减影血管造影(digital subtraction angiography,DSA)、计算机断层扫描血管成像(computed tomography angiography,CTA)等诊断。根据动脉瘤的部位不同可分别采取外科手术或血管内栓塞等治疗方法,其长期疗效仍需探讨。本文就烟雾病合并动脉瘤形成的可能原因、临床特征及诊疗策略加以阐述,以期增加对MMD合并动脉瘤的进一步了解。Moyamoya disease combined with intracranial aneurysm may be caused by the hemodynamic changes.Most of its clinical symptoms are different types of intracranial hemorrhage,also can show cerebral ischemia.It can be diagnosed by digital subtraction angiography（DSA） and computed tomography angiography（CTA）.According to the distribution of the aneurysms,different treatments can be applied,including surgery or endovascular embolization,but the longterm effects are unclear.In this paper,the possible causes,clinical features and treatment strategies of moyamoya disease combined with intracranial aneurysm were elaborated in order to increase the understanding of this disease.

关 键 词：烟雾病 动脉瘤 诊疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]