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多发性(超过4个)颅内动脉瘤的血管内栓塞术。病例报告。

Endovascular coiling of multiple (more than four) intracranial aneurysms. Case report.

作者信息

Kim Y J, Song K Y

机构信息

Department of Neurosurgery, Dankook University College of Medicine, Cheonan; Korea -

出版信息

Interv Neuroradiol. 2004 Mar 14;10(1):75-81. doi: 10.1177/159101990401000110. Epub 2004 Oct 22.

Abstract

The incidence of multiple intracranial aneurysms has been reported from 5% to 35%. But over four multiple aneurysms are extremely rare. Sometimes it is very difficult to draw a clear line between ruptured ones and unruptured others especially in multiple aneurysm cases with even distribution of subarachnoid haemorrhage on basal cistern. We present two cases of multiple aneurysms, more than four, which were successfully treated by endovascular coiling at the same time. Our experience suggests an endovascular procedure would be the gold standard of treatment for ruptured multiple intracranial aneurysms.

摘要

颅内多发动脉瘤的发生率据报道为5%至35%。但超过四个的多发动脉瘤极为罕见。有时很难明确区分破裂的动脉瘤和未破裂的动脉瘤,尤其是在基底池蛛网膜下腔出血分布均匀的多发动脉瘤病例中。我们报告了两例超过四个的多发动脉瘤病例,通过血管内栓塞术同时成功治疗。我们的经验表明,血管内治疗方法将是破裂性颅内多发动脉瘤治疗的金标准。

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MULTIPLE INTRACRANIAL ANEURYSMS.多发性颅内动脉瘤
Lancet. 1964 Mar 21;1(7334):623-6. doi: 10.1016/s0140-6736(64)91449-7.
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Risk factors for the formation of multiple intracranial aneurysms.
J Neurosurg. 2001 May;94(5):728-32. doi: 10.3171/jns.2001.94.5.0728.
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Management outcome for multiple intracranial aneurysms.多发性颅内动脉瘤的治疗结果
Neurosurgery. 1995 Jan;36(1):31-7; discussion 37-8. doi: 10.1227/00006123-199501000-00003.

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