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大脑中动脉M1段中部的长窗型脑动脉瘤。

Cerebral aneurysm in the long fenestration at the middle portion of m1 segment.

作者信息

Sim Ki-Bum, Lee Chang Sub, Park Jung Cheol, Huh Ji Soon

机构信息

Department of Neurosurgery, Jeju National University College of Medicine, Jeju, Korea.

出版信息

J Korean Neurosurg Soc. 2010 Nov;48(5):434-7. doi: 10.3340/jkns.2010.48.5.434. Epub 2010 Nov 30.

DOI:10.3340/jkns.2010.48.5.434
PMID:21286481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3030084/
Abstract

We report a unique case of bilateral mirror image M1 aneurysms, one of which was an unruptured aneurysm arising from the proximal end of right middle cerebral artery fenestration with long loop and the other ruptured aneurysm from the contralateral side. We clipped ruptured aneurysm first and unruptured one in three months after the first operation. The difficulties of identifying this unusual vascular anomaly and possible problems during the surgery of an aneurysm at the site of fenestration are discussed with a review of the literature.

摘要

我们报告了一例独特的双侧镜像M1动脉瘤病例，其中一个是起源于右侧大脑中动脉开窗近端的未破裂动脉瘤，有长襻，另一个是对侧的破裂动脉瘤。我们先夹闭了破裂动脉瘤，在首次手术后三个月夹闭了未破裂动脉瘤。结合文献回顾，讨论了识别这种不寻常血管异常的困难以及在开窗部位动脉瘤手术期间可能出现的问题。

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Cerebral arterial fenestrations.大脑动脉窗
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本文引用的文献

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Fenestration of the middle cerebral artery with an associated ruptured aneurysm.大脑中动脉开窗伴动脉瘤破裂
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Middle cerebral artery fenestration in patients with cerebral ischemia.脑缺血患者的大脑中动脉开窗畸形
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Fenestration of the middle cerebral artery detected by MR angiography.磁共振血管造影检测到大脑中动脉开窗畸形。
Magn Reson Med Sci. 2006 Apr;5(1):51-5. doi: 10.2463/mrms.5.51.
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Normal variants of the intracranial circulation demonstrated by MR angiography at 3T.3T磁共振血管造影显示的颅内循环正常变异。
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Association of cerebral arteriovenous malformation with cerebral arterial fenestration.脑动静脉畸形与脑动脉窗的关联。
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Local intraarterial fibrinolytic therapy for embolic stroke associated with vascular anomalies--two case reports.局部动脉内纤维蛋白溶解疗法治疗与血管异常相关的栓塞性中风——两例病例报告
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