Ibrahim Timothy, Brophy Brian P
The Department of Neurosurgery, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia 5000, Australia.
J Clin Neurosci. 2009 Jun;16(6):844-5. doi: 10.1016/j.jocn.2008.08.037. Epub 2009 Mar 20.
Posteriorly projecting carotid bifurcation aneurysms are rare. Proximal anterior cerebral artery aneurysms are even more uncommon. Distinguishing between true posteriorly projecting carotid bifurcation aneurysms and carotid A1 aneurysms can be difficult but it is important because small posteriorly projecting carotid bifurcation aneurysms may need a contralateral approach for adequate exposure. We report our experience with a recent case that illustrated this problem.
向后突出的颈动脉分叉动脉瘤很罕见。大脑前动脉近端动脉瘤则更为少见。区分真正的向后突出的颈动脉分叉动脉瘤和颈动脉A1段动脉瘤可能很困难,但这很重要,因为小的向后突出的颈动脉分叉动脉瘤可能需要对侧入路以获得充分暴露。我们报告了近期一个说明该问题的病例的经验。