累及小脑后下动脉椎动脉夹层动脉瘤的治疗进展

Advances in treatment of vertebral artery dissecting aneurysms involving the posterior inferior cerebellar artery

摘要:

颅内椎动脉夹层动脉瘤是导致蛛网膜下腔出血及后循环缺血的原因之一，其致残率和致死率较高。在各种类型的椎动脉夹层动脉瘤中，以累及小脑后下动脉的椎动脉夹层动脉瘤治疗难度最大。其主要的治疗方式包括开颅手术治疗和血管内介入治疗、内科保守治疗。该文就累及小脑后下动脉椎动脉夹层动脉瘤的临床表现、影像学特点、诊断治疗现状综述如下。

Abstract:

Intracranial vertebral artery dissecting aneurysms are one of the main causes of subarachnoid hemorrhage and posterior circulation ischemia, with high disability rate and mortality rate. Among the various types of vertebral artery dissecting aneurysms, vertebral artery dissecting aneurysms involving the posterior inferior cerebellar artery has the greatest difficulties in treatment. Major treatment modalities include craniotomy, endovascular treatment, and conservative medical treatment. This article reviews the clinical manifestations, imaging features, diagnosis, and treatment of vertebral artery dissecting aneurysms involving the posterior inferior cerebellar artery.