Английская Википедия:Charcot–Bouchard aneurysm

Материал из Онлайн справочника
Перейти к навигацииПерейти к поиску

Шаблон:Infobox medical condition (new) Charcot–Bouchard aneurysms are aneurysms of the brain vasculature which occur in small blood vessels (less than 300 micrometre diameter). Charcot–Bouchard aneurysms are most often located in the lenticulostriate vessels of the basal ganglia and are associated with chronic hypertension.[1] Charcot–Bouchard aneurysms are a common cause of cerebral hemorrhage.

Retinal microaneurysms are seen in conditions like diabetic retinopathy,[2]Шаблон:Rp HIV related retinal microangiopathy,[2]Шаблон:Rp sickle cell retinopathy,[2]Шаблон:Rp idiopathic macular telangiectasia[2]Шаблон:Rp etc. In diabetic retinopathy, due to breakdown in blood–retinal barrier, microaneurysms may leak plasma constituents into the retina, or it may thrombose.[2]Шаблон:Rp

Signs and symptoms

Шаблон:Main

If a Charcot–Bouchard aneurysm ruptures, it will lead to an intracerebral hemorrhage, which can cause hemorrhagic stroke, typically experienced as a sudden focal paralysis or loss of sensation.[1]

Pathophysiology

Charcot–Bouchard aneurysms are aneurysms in the small penetrating blood vessels of the brain. They are associated with hypertension. The common artery involved is the lenticulostriate branch of the middle cerebral artery. Common locations of hypertensive hemorrhages include the putamen, caudate, thalamus, pons, and cerebellum. Шаблон:Citation needed

As with any aneurysm, once formed they have a tendency to expand and eventually rupture, in keeping with the Law of Laplace.[3][4]

Diagnosis

Usually not detected by CT angiography.[4] Retinal microaneurysms can be diagnosed using ophthalmoscopy, fundus photography, FFA, and OCT.[5]

History

Charcot–Bouchard aneurysms are named for the French physicians Jean-Martin Charcot and Charles-Joseph Bouchard.[6][7] Bouchard discovered these aneurysms during his doctoral research under Charcot.[8]

See also

References

Шаблон:Reflist Шаблон:Cerebrovascular diseases

  1. 1,0 1,1 Шаблон:Cite book
  2. 2,0 2,1 2,2 2,3 2,4 Шаблон:Cite book
  3. E. Goljan, Pathology, 2nd ed. Mosby Elsevier, Rapid Review Series.
  4. 4,0 4,1 Nussbaum ES, Erickson DL. The fate of intracranial microaneurysms treated with bipolar electrocoagulation and parent vessel reinforcement. Neurosurgery. Шаблон:Doi . Шаблон:PMID1999;45(5):1172-4; discussion 1174-5.
  5. Шаблон:Cite journal
  6. Шаблон:WhoNamedIt
  7. C. J. Bouchard. Étude sur quelques points de la pathogénie des hémorrhagies cérébrales. Paris, 1867.
  8. Шаблон:Citation