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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 441 - 444 (4page)
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초록· 키워드
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Cerebral aneurysms associated with systemic lupus erythematosus (SLE) are more likely to grow rapidly and rupture, compared to those found in the general population. The main underlying pathology of intracranial aneurysm and its rupture is presumed to be SLE-related intracranial vasculitis and fragility of blood vessels due to prolonged use of steroid. For these reasons, both surgical and endovascular options are challenging. On the other hand, given the possibility that SLE may predispose to growth and rupture of intracranial aneurysm, early intervention for cerebral aneurysms associated with SLE may be more necessary and beneficial than other cerebral aneurysms in the general population. Here we would like to report on the unexpected complications that occurred during or after endovascular treatment of an SLE patient with multiple aneurysms. The complications include intraprocedural rupture of unruptured aneurysm, coil stretching, contrast-induced encephalopathy, and delayed ipsilateral intraparenchymal hemorrhage after stent-assisted coiling. Our unique case highlights that the SLE patient with multiple intracranial aneurysms had a higher risk of endovascular procedure-related complications, which might be due to the increased bleeding tendency and fragility of blood vessels.
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등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Chang YS / 2013 / Increased risk of subarachnoid hemorrhage in patients with systemic lupus erythematosus: a nationwide population-based study / Arthritis Care Res(Hoboken) 65:601~606
Kelley RE / 1980 / Cerebral transmural angiitis and ruptured aneurysm : a complication of systemic lupus erythematosus / Arch Neurol 37:526~527
Petri M / 2012 / Derivation and validation of the Systemic Lupus International Collaborating Clinics classification criteria for systemic lupus erythematosus / Arthritis Rheum 64:2677~2686
Graffeo CS / 2015 / Rapid aneurysm growth and rupture in systemic lupus erythematosus / Surg Neurol Int 6:9
Nakai Y / 2000 / Distal superior cerebellar artery aneurysm in a patient with systemic lupus erythematosus : case report / Surg Neurol 54:73~76
Kelley RE / 1980 / Cerebral transmural angiitis and ruptured aneurysm : a complication of systemic lupus erythematosus / Arch Neurol 37:526~527
Petri M / 2012 / Derivation and validation of the Systemic Lupus International Collaborating Clinics classification criteria for systemic lupus erythematosus / Arthritis Rheum 64:2677~2686
Graffeo CS / 2015 / Rapid aneurysm growth and rupture in systemic lupus erythematosus / Surg Neurol Int 6:9
Nakai Y / 2000 / Distal superior cerebellar artery aneurysm in a patient with systemic lupus erythematosus : case report / Surg Neurol 54:73~76
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