机构:[1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院[2]China National Clinical Research Center for Neurological Diseases (NCRC-ND), Beijing 100050, China[3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, China[4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, China[5]Center for Neuroscience Discovery, Institute for Healthy Aging, University of North Texas Health Science Center, Fort Worth, TX 76107, USA
Giant intrapetrous internal carotid aneurysms (petrous ICA aneurysm) are rare. A giant petrous ICA aneurysm presenting with otorrhagia and coil exposure to the external auditory meatus (EAM) after endovascular treatment has never been documented before. The authors report here a case of successful surgical trapping with bypass intervention of a giant petrous ICA aneurysm presenting with coil exposure after endovascular treatment. A 58-year-old man presented with persistent otorrhagia having been admitted to our hospital because of the recurrence of a giant petrous ICA aneurysm after repeated embolization treatments with coils. An electronic otoscope examination demonstrated that a piece of coil escaped into his right EAM. After multidisciplinary consultation, an extracranial-intracranial (EC-IC) bypass with ICA occlusion and coil removal with a closed EAM filling were performed in stages. The patient recovered quickly without any neurological deficits. A digital subtraction angiography confirmed the absence of the aneurysm and patency of the bypass graft.
第一作者机构:[1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China[2]China National Clinical Research Center for Neurological Diseases (NCRC-ND), Beijing 100050, China[3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, China[4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, China
通讯作者:
通讯机构:[1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China[2]China National Clinical Research Center for Neurological Diseases (NCRC-ND), Beijing 100050, China[3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, China[4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, China
推荐引用方式(GB/T 7714):
Yu Le-Bao,Zhang Dong,Yang Shao-Hua,et al.Surgical management of giant intrapetrous internal carotid aneurysm presenting with coil exposure after endovascular treatment[J].NEUROSURGICAL REVIEW.2018,41(3):891-894.doi:10.1007/s10143-018-0964-y.
APA:
Yu, Le-Bao,Zhang, Dong,Yang, Shao-Hua&Zhao, Ji-Zong.(2018).Surgical management of giant intrapetrous internal carotid aneurysm presenting with coil exposure after endovascular treatment.NEUROSURGICAL REVIEW,41,(3)
MLA:
Yu, Le-Bao,et al."Surgical management of giant intrapetrous internal carotid aneurysm presenting with coil exposure after endovascular treatment".NEUROSURGICAL REVIEW 41..3(2018):891-894