内血管治疗后部沟通动脉动脉瘤与眼运动神经麻
Masanobu Okauchi1, Hikari Matsumura2, Takeshi Fujimori1
1Department of Neurological Surgery, Kagawa University Faculty of Medicine, Kita-gun, Kagawa, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
线圈栓塞有效地治疗内动脉-后部通讯动脉动脉瘤 (PComAAn) 并改善相关的眼运动神经麻 (ONP). 大多数患者经历了令人满意的ONP恢复,证明了动脉瘤治疗和神经功能改善之间的联系.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 内动脉-后沟通动脉动脉瘤 (PComAAn) 可以导致眼运动神经麻 (ONP).
- 线圈栓塞对与PComAAn相关的ONP的治疗效果是有争议的.
研究的目的:
- 评估线圈栓塞在改善PComAAn患者的ONP中的有效性.
主要方法:
- 对23名PComAAn和ONP患者进行了回顾性分析,这些患者接受了线圈栓塞治疗.
- ONP的结果被分为总体,部分总体或部分恢复.
主要成果:
- 87%的患者表现出令人满意的ONP恢复 (总或部分总).
- 动脉瘤的完全封闭或部残留与与身体填充 (BF) 相比更好的ONP恢复相关.
- 任何ONP改善的平均时间为6.0个月.
结论:
- 线圈栓塞是与ONP相关的PComAAn的有效治疗方法.
- 动脉瘤栓塞结果与ONP改善直接相关.
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