临床神经外科杂志2026，Vol.23Issue(2)：222-225,4.DOI:10.3969/j.issn.1672-7770.2026.02.018
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
Autosomal dominant polycystic kidney disease complicated by ruptured intracranial aneurysm:report of 1 case and literature review
潘雪峰 1郑滢淇 1彭柏春 1鲁杨惠君 1刘玉全1
作者信息
- 1. 442099 十堰湖北医药学院附属太和医院综合医疗科
- 折叠
摘要
Abstract
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.关键词
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Key words
autosomal dominant polycystic kidney disease(ADPKD)/intracranial aneurysm/basilar artery aneurysm/pseudoaneurysm/vascular dysfunction分类
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潘雪峰,郑滢淇,彭柏春,鲁杨惠君,刘玉全..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[J].临床神经外科杂志,2026,23(2):222-225,4.
