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Neurology:假性动脉瘤消失,新生,再消失

2018-06-15 杨中华 脑血管病及重症文献导读

34岁,女性。分娩后不久,突发左侧肢体无力。

34岁,女性。

分娩后不久,突发左侧肢体无力。

头CT显示小量脑出血(图A),继发于动静脉畸形(图B)伴2个小假性动脉瘤(图C):



2个月后DSA发现其中一个假性动脉瘤消失,又发现一个新生的假性动脉瘤(图D)。1个月后复查DSA显示假性动脉瘤消失(图E):



供血动脉蒂动脉瘤(Feeding pedicle pseudoaneurysms)可能继发于夹层,会动态变化。可以见到新生动脉瘤,动脉瘤间断生长,或自发消失。

原始出处:Giordan E, Rinaldo L, Lanzino G. et al. Teaching NeuroImages: Spontaneous regression of AVM feeding pedicle pseudoaneurysms. Neurology. 2018 May 22;90(21):e1935-e1936. 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2000463, encodeId=a3192000463ba, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Tue Oct 30 07:55:00 CST 2018, time=2018-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1447455, encodeId=2aaa144e4553a, content=<a href='/topic/show?id=515d2e5538e' target=_blank style='color:#2F92EE;'>#假性动脉瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27553, encryptionId=515d2e5538e, topicName=假性动脉瘤)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/fyRKNyibzABAicp53YP9icFXdxz0NU7qFxPHUvpIndI7G9KBE1szkMibaGgLVxKhV9QlEqPHtlolHibycuROenU7Wdw/132, createdBy=2a4a5352886, createdName=gaoxiaoe, createdTime=Sun Jun 17 00:55:00 CST 2018, time=2018-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324559, encodeId=b61432455984, content=好文献学习啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Sat Jun 16 06:39:00 CST 2018, time=2018-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324399, encodeId=31053243992b, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Fri Jun 15 10:31:20 CST 2018, time=2018-06-15, status=1, ipAttribution=)]
    2018-10-30 yinhl1978
  2. [GetPortalCommentsPageByObjectIdResponse(id=2000463, encodeId=a3192000463ba, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Tue Oct 30 07:55:00 CST 2018, time=2018-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1447455, encodeId=2aaa144e4553a, content=<a href='/topic/show?id=515d2e5538e' target=_blank style='color:#2F92EE;'>#假性动脉瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27553, encryptionId=515d2e5538e, topicName=假性动脉瘤)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/fyRKNyibzABAicp53YP9icFXdxz0NU7qFxPHUvpIndI7G9KBE1szkMibaGgLVxKhV9QlEqPHtlolHibycuROenU7Wdw/132, createdBy=2a4a5352886, createdName=gaoxiaoe, createdTime=Sun Jun 17 00:55:00 CST 2018, time=2018-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324559, encodeId=b61432455984, content=好文献学习啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Sat Jun 16 06:39:00 CST 2018, time=2018-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324399, encodeId=31053243992b, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Fri Jun 15 10:31:20 CST 2018, time=2018-06-15, status=1, ipAttribution=)]
  3. [GetPortalCommentsPageByObjectIdResponse(id=2000463, encodeId=a3192000463ba, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Tue Oct 30 07:55:00 CST 2018, time=2018-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1447455, encodeId=2aaa144e4553a, content=<a href='/topic/show?id=515d2e5538e' target=_blank style='color:#2F92EE;'>#假性动脉瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27553, encryptionId=515d2e5538e, topicName=假性动脉瘤)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/fyRKNyibzABAicp53YP9icFXdxz0NU7qFxPHUvpIndI7G9KBE1szkMibaGgLVxKhV9QlEqPHtlolHibycuROenU7Wdw/132, createdBy=2a4a5352886, createdName=gaoxiaoe, createdTime=Sun Jun 17 00:55:00 CST 2018, time=2018-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324559, encodeId=b61432455984, content=好文献学习啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Sat Jun 16 06:39:00 CST 2018, time=2018-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324399, encodeId=31053243992b, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Fri Jun 15 10:31:20 CST 2018, time=2018-06-15, status=1, ipAttribution=)]
    2018-06-16 张新亮1853311252142e2fm

    好文献学习啊

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2000463, encodeId=a3192000463ba, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=77, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Tue Oct 30 07:55:00 CST 2018, time=2018-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1447455, encodeId=2aaa144e4553a, content=<a href='/topic/show?id=515d2e5538e' target=_blank style='color:#2F92EE;'>#假性动脉瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27553, encryptionId=515d2e5538e, topicName=假性动脉瘤)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/fyRKNyibzABAicp53YP9icFXdxz0NU7qFxPHUvpIndI7G9KBE1szkMibaGgLVxKhV9QlEqPHtlolHibycuROenU7Wdw/132, createdBy=2a4a5352886, createdName=gaoxiaoe, createdTime=Sun Jun 17 00:55:00 CST 2018, time=2018-06-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324559, encodeId=b61432455984, content=好文献学习啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b5a62240667, createdName=张新亮1853311252142e2fm, createdTime=Sat Jun 16 06:39:00 CST 2018, time=2018-06-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=324399, encodeId=31053243992b, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=101, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Fri Jun 15 10:31:20 CST 2018, time=2018-06-15, status=1, ipAttribution=)]
    2018-06-15 明月清辉

    谢谢分享.学习了

    0

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