常染色体显性多囊肾病并发颅内动脉瘤破裂1例并文献复习OA
Autosomal dominant polycystic kidney disease complicated by ruptured intracranial aneurysm:report of 1 case and literature review
目的 探讨常染色体显性多囊肾病(ADPKD)并发颅内动脉瘤患者的病因、诊治、术后并发症的预防.方法 回顾性分析十堰太和医院2024 年5 月收治的1 例多囊肾多囊肝患者的临床资料,并对相关文献进行复习.结果 患者急诊颅脑 CT 蛛网膜下腔出血伴脑室积血入院.行基底动脉瘤栓塞术,术后因突发假性动脉瘤行股动脉覆膜支架植入.最终诊断为 ADPKD 合并基底动脉瘤破裂及股动脉假性动脉瘤.经康复治疗患者病情逐渐稳定.结论 对于 ADPKD 患者应预防脑血管意外发生,术后权衡抗凝,避免穿刺所带来的并发症,必要时对 ADPKD 患者及直系家属进行 DSA 筛查以明确颅内血管情况.
Objective To investigate the etiology,diagnosis,treatment,and prevention of postoperative complications in patients with autosomal dominant polycystic kidney disease(ADPKD)complicated by intracranial aneurysms.Methods The clinical data of a patient with polycystic kidney and liver disease admitted to Shiyan Taihe Hospital in May 2024 were analyzed retrospectively.The relevant literature were reviewed.Results The patient was admitted due to subarachnoid hemorrhage with intraventricular hemorrhage confirmed by CT.Embolization of a basilar artery aneurysm was performed.Postoperatively,a femoral artery pseudoaneurysm developed unexpectedly,necessitating femoral artery covered stent implantation.The final diagnosis was ADPKD with ruptured basilar artery aneurysm and femoral artery pseudoaneurysm.The patient's condition stabilized following rehabilitation therapy.Conclusions Proactive measures to prevent cerebrovascular accidents are critical for ADPKD patients.Postoperative anticoagulation should be carefully balanced to avoid puncture-related complications.Digital subtraction angiography(DSA)screening is recommended for ADPKD patients and their immediate relatives to assess intracranial vascular status.
潘雪峰;郑滢淇;彭柏春;鲁杨惠君;刘玉全
442099 十堰湖北医药学院附属太和医院综合医疗科442099 十堰湖北医药学院附属太和医院综合医疗科442099 十堰湖北医药学院附属太和医院综合医疗科442099 十堰湖北医药学院附属太和医院综合医疗科442099 十堰湖北医药学院附属太和医院综合医疗科
医药卫生
常染色体显性多囊肾病颅内动脉瘤基底动脉瘤假性动脉瘤血管功能障碍
autosomal dominant polycystic kidney disease(ADPKD)intracranial aneurysmbasilar artery aneurysmpseudoaneurysmvascular dysfunction
《临床神经外科杂志》 2026 (2)
222-225,4
评论