Chibbaro S, Tacconi L
Department of Neurosurgery, University Hospital Trieste, Strada di Fiume 447, 34100 Trieste, Italy.
J Clin Neurosci. 2006 Dec;13(10):1001-5. doi: 10.1016/j.jocn.2005.07.027. Epub 2006 Oct 27.
The optimal management of symptomatic cavernous sinus aneurysms remains controversial. Carotid occlusion is a simple procedure, but carries an ongoing risk of early and late stroke. Cerebral revascularisation is technically demanding and carries a risk of morbidity and mortality of around 10%. Eight patients treated with an extracranial-intracranial vascular bypass graft over a period of 44 months for symptomatic cavernous sinus aneurysms are reviewed. At a mean follow-up of 20 months, seven patients (87.5%) had an excellent outcome (Glasgow Outcome Score 5) while one patient suffered a perioperative stroke. In only one case, where the radial artery had been used, the graft became occluded. The results of this series seem to indicate that cerebral revascularisation is an effective treatment for patients with symptomatic cavernous sinus aneurysms.
有症状海绵窦动脉瘤的最佳治疗方法仍存在争议。颈动脉闭塞是一种简单的手术，但存在早期和晚期中风的持续风险。脑血运重建技术要求高，且有大约10%的发病和死亡风险。回顾了44个月期间8例因有症状海绵窦动脉瘤接受颅外-颅内血管搭桥术治疗的患者。平均随访20个月时，7例患者（87.5%）预后良好（格拉斯哥预后评分5分），而1例患者发生围手术期中风。仅1例使用桡动脉的病例中，移植物发生闭塞。该系列结果似乎表明，脑血运重建是有症状海绵窦动脉瘤患者的有效治疗方法。
