儿童外伤性颈内动脉动脉瘤伴双侧颈内动脉海绵窦瘘一例并文献复习  

Traumatic Intracranial Aneurysm and Cavernous Fistula in Children: a Report of 1 Case and Literature Review

作　　者：凌峻[1] 杨少春[1] 邱传珍[1] 刘鹏[1] 罗穆云[1] LING Jun;YANG Shao-chun;QIU Chuang-zhen;LIU Peng;LUO Mu-yun(Dept. of Neurosurgery, the First Affiliated Hospital of Gannan Medical University, Ganzhou, Jiangxi 341000)

机构地区：[1]赣南医学院第一附属医院神经外科,江西赣州341000

出　　处：《赣南医学院学报》2018年第4期395-397,399,共4页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨儿童外伤性颅内动脉动脉瘤的成因、影像、诊断及治疗。方法:回顾性分析1例儿童外伤性颅内动脉瘤伴双侧颈内动脉海绵窦瘘的诊断和治疗,并进行文献复习。结果:儿童外伤性颅内动脉瘤及海绵窦瘘经血管介入治疗后出现大面积脑梗死,因脑疝死亡。结论:儿童外伤性颅内动脉动脉瘤伴双侧海绵窦瘘少见,临床症状不明显,确诊依赖DSA,显微外科及血管介入是目前常用的两种治疗手段,血管介入治疗是其首选方案。Objective： To explore the pathogenesis,angiography findings. diagnosis and treatment of the traumatic intracranial aneurysms in children. Methods： A case of traumatic intracranial aneurysm with bilateral internal carotid cavernous fistula in children was reviewed retrospectively. Results： The child with traumatic intracranial aneurysms and cavernous fistula suffered from massive cerebral infarction and died of cerebral hernia after interventional treatment. Conclusion： Traumatic intracmnial aneurysm associated with bilateral cavernous sinus fistula is rare in childhood. The clinical symptom is not obvious and the diagnosis depends on DSA. Microsurgery and vascular intervention are two commonly used treatments at present. Vascular interventional therapy is the first choice.

关 键 词：儿童 外伤性颅内动脉瘤 海绵窦瘘 

分 类 号：R651[医药卫生—外科学]