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中华脑血管病杂志(电子版) ›› 2025, Vol. 19 ›› Issue (05) : 458 -461. doi: 10.3877/cma.j.issn.1673-9248.2025.05.014

病例报告

以鼻出血为首发症状的双侧颈内动脉瘤病例报道
林莉瑶1, 黄晓松2,(), 闫江婷1   
  1. 1 410000 湖南 长沙,湖南中医药大学临床医学院
    2 410000 湖南 长沙,湖南省第二人民医院神经内科
  • 收稿日期:2025-05-14 出版日期:2025-10-01
  • 通信作者: 黄晓松

A case report of bilateral internal carotid artery aneurysm with the first symptom of epistaxis

Liyao Lin, Xiaosong Huang(), Jiangting Yan   

  • Received:2025-05-14 Published:2025-10-01
  • Corresponding author: Xiaosong Huang
引用本文:

林莉瑶, 黄晓松, 闫江婷. 以鼻出血为首发症状的双侧颈内动脉瘤病例报道[J/OL]. 中华脑血管病杂志(电子版), 2025, 19(05): 458-461.

Liyao Lin, Xiaosong Huang, Jiangting Yan. A case report of bilateral internal carotid artery aneurysm with the first symptom of epistaxis[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2025, 19(05): 458-461.

图1 双侧颈内动脉瘤患者颅脑CT提示右侧鞍旁、海绵窦区高密度灶伴弧形钙化影,疑似动脉瘤。右侧鞍旁、海绵窦区见直径约27 mm类球形高密度灶,CT值约43 HU,边缘见弧形钙化影,病灶局部似与右侧颈内动脉相延续,邻近颅底骨质受压变薄
图2 双侧颈内动脉瘤患者术前全脑数字减影血管造影检查图像。图a为脑血管造影提示右侧颈内动脉海绵窦段动脉瘤,大小为15.7 mm×9.1 mm,瘤颈宽为7.4 mm;图b为脑血管造影提示左侧颈内动脉C6段动脉瘤,大小为4.0 mm×3.5 mm,瘤颈宽为4.1 mm
图3 双侧颈内动脉瘤患者术后血管造影检查图像。图a为右侧颈内动脉海绵窦段动脉瘤弹簧圈栓塞术+密网支架植入术后造影表现;图b为左侧颈内动脉瘤密网支架植入术后造影表现
图4 双侧颈内动脉瘤患者术后4个月随访影像检查图像。图a为颅脑CT平扫提示右侧鞍旁、海绵窦区致密影同前,符合动脉瘤术后改变;双侧颈内动脉颅内段支架植入术后改变;图b为颅脑CT血管造影检查提示右侧颈内动脉支架颈段狭窄可能
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