Filatov Iu V, Kheĭreddin A S, Shishkina L V, Sazonov I A, Okishev D N, Pilipenko Iu V
Zh Vopr Neirokhir Im N N Burdenko. 2009 Oct-Dec(4):47-50; discussion 50.
The authors describe a rare case of 15-year old patient with ruptured giant fusiform partially thrombosed aneurysm of fenestrated middle cerebral artery (MCA). The patient underwent surgical treatment: clipping of proximal and distal necks of aneurysm and thrombectomy. Intraoperative signs of MCA fenestration are described in details. The observation is instructive if a surgeon discovers 'double-necked' aneurysm for selection of adequate tactics of aneurysm occlusion.
作者描述了一例罕见病例，患者为15岁，患有大脑中动脉（MCA）开窗处巨大梭形部分血栓形成的动脉瘤破裂。患者接受了手术治疗：夹闭动脉瘤的近端和远端颈部并进行血栓切除术。详细描述了MCA开窗的术中体征。如果外科医生发现“双颈”动脉瘤以选择合适的动脉瘤闭塞策略，该观察结果具有指导意义。
