SONUÇ VE ÖNERİLER

Serebral arterlerin segmental dolikoektatik displazileri karşımıza oldukca nadir çıkmış olup ateroskleroz, hipertansiyon, otoimmun hastalık gibi tanısı olmayan genc hasta grubunda görüldüğünde konjenital hastalık gibi değerlendirmelidir. Konu ile ilgili hem yerli hem yabancı literatürde yayın oldukça azdır. Bizim olguların hepsinde ortak şikayet olan baş ağrısı ayırıcı tanısında dolikoektatik displazinin yer alması gerektiğini düşünmekteyiz. İntrakranial yer kaplayan tortiöz vasküler yapılar halindeki radyolojik bulguların varlığında dolikoektatik arter displazisi ayırıcı tanıya girebilir.

Genel olarak bu patoloji benign semptomlarla seyir gösterse de olguların düzenli anjiyografik takibini öneriyoruz. Olası iskemik olayları ve damar duvar inflamasyonunu önlemede düzenli antiagregan tedavisi önerilebilir. Ayrıca varolan konjenital anormal damar duvarinda durumu daha da kötü yapacak, zamanla gelişebilecek sistemik arteriyal hipertansiyon, diyabetes mellutis gibi hastalıklar klinik semptomların beliginleşmesine sebep olabilir.

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8. EKLER

8.2. BİLGİLENDİRİLMİŞ OLUR FORMU

EGE ÜNİVERSİTESİ TIP FAKÜLTESİ HASTANESİ RADYOLOJİ ANABİLİM