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[小脑前下动脉动脉瘤:2例报告]

[Anterior inferior cerebellar artery aneurysm: report of 2 cases].

作者信息

Chen Z P

机构信息

Huashan Hospital, Shanghai Medical University.

出版信息

Zhonghua Wai Ke Za Zhi. 1990 Aug;28(8):490-1, 511.

PMID:2086115
Abstract

Anterior inferior cerebellar artery aneurysm (AICAA) is not common. We have encountered only two cases of AICAA in our 205 cases of intracranial aneurysm. AICAAs were mostly located on the branches or loops of anterior inferior cerebellar artery at the pontine-cerebellar angle, and all of them were saccular. These neurological findings were mainly concerned with the syndrome of the pontine-cerebellar angle. It was found mainly due to subarachnoid hemorrhage. Angiography may establish the diagnosis. Surgical treatment is the first choice. The aneurysm was approached by suboccipital craniectomy and clipped. Postoperatively there were a great proportion of neurological deficits of auditory or/and facial nerves.

摘要

小脑前下动脉动脉瘤(AICAA)并不常见。在我们的205例颅内动脉瘤病例中,仅遇到2例AICAA。AICAA大多位于脑桥小脑角处小脑前下动脉的分支或襻上,均为囊状。这些神经学表现主要与脑桥小脑角综合征有关。主要因蛛网膜下腔出血而发现。血管造影可确立诊断。手术治疗是首选。通过枕下开颅术接近动脉瘤并夹闭。术后有很大比例的患者出现听觉或/和面部神经的神经功能缺损。

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