在上大脑小动脉和中大脑动脉多重动脉瘤的半半方法
Cameron A Rawanduzy1, Karol P Budohoski1, Vance Mortimer1
1Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah, USA.
World neurosurgery
|November 18, 2023
概括
手术为多重上大脑小动脉 (SCA) 动脉瘤提供了安全有效的治疗方法,特别是在内血管方法具有挑战性的复杂病例中. 这种方法为患有ipsilateral或并发性疾病的患者提供了最终的解决方案.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 脑血管外科 脑血管外科
背景情况:
- 上大脑小动脉 (SCA) 动脉瘤通常以内血管方式治疗,因为它们位于基底动脉附近.
- 手术仍然是年轻患者的选择,那些有宽动脉瘤,或多个ipsilateral动脉瘤.
- SCA动脉瘤在解剖学上位于后脑动脉和SCA本身附近.
研究的目的:
- 介绍一个成功手术治疗多重未破裂的内动脉瘤的案例.
- 讨论上大脑小动脉 (SCA) 动脉瘤的手术方法及其细微差别.
- 突出外科手术作为复杂动脉瘤病例的可行治疗方法.
主要方法:
- 一名患有多重动脉瘤的52岁女性患者接受了手术治疗.
- 进行了骨和骨切除术,使用了合并的下和跨sylvian方法.
- 诸如体分裂和早期近位控制等技术被用来应对手术挑战.
主要成果:
- 患者出现了头,并发现右侧SCA动脉瘤和双侧中脑动脉动脉瘤.
- 手术后恢复没有任何事件,患者在神经系统上保持稳定.
- 一年后的随访证实了患者的稳定状况.
结论:
- 结合关和关切术提供了切断多个动脉瘤的高效访问.
- 对于患有多重动脉瘤或患有并发性内血管栓塞症的患者,应考虑进行外科手术.
- 这一案例证明了复杂的内动脉瘤手术治疗的有效性和安全性.
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