测试神经外科学创新的边界……两次：一位患者独特颅内动脉瘤治疗的报告。
Testing the boundaries of neurosurgical innovation … twice: an account of one patient's unique intracranial aneurysm treatment.
机构信息
Department of Neurosurgery, School of Medicine and Biomedical Sciences, and Toshiba Stroke Research Center, University at Buffalo, State University of New York, Buffalo, New York, USA.
出版信息
World Neurosurg. 2011 Sep-Oct;76(3-4):361.e1-5. doi: 10.1016/j.wneu.2010.09.031.
BACKGROUND
The treatment of intracranial aneurysms has evolved over the past several decades and has profited by the ingenuity and expertise of generations of innovative neurosurgeons.
CASE DESCRIPTION
A 79-year-old man presented with symptoms related to recurrence of his previously ruptured basilar bifurcation aneurysm 35 years after undergoing the first awake hunterian ligation for the same aneurysm performed by Dr. Charles Drake.
CONCLUSIONS
This report details the treatment strategies applied in the management of the patient's aneurysm then and now, offering us a glimpse into the evolution of neurosurgical treatment for basilar bifurcation aneurysms in a patient who was able to benefit from neurosurgical innovation twice in his lifetime.
背景
过去几十年来，颅内动脉瘤的治疗取得了进展，这得益于几代富有创造力和专业知识的神经外科医生的努力。
病例描述
一名 79 岁男性，在接受了由 Charles Drake 医生进行的首次清醒状态下的 Hunterian 结扎术治疗同部位破裂的基底分叉动脉瘤 35 年后，出现与先前破裂的基底分叉动脉瘤复发相关的症状。
结论
本报告详细介绍了当时和现在用于治疗患者动脉瘤的治疗策略，让我们一窥一生中两次受益于神经外科创新的患者的基底分叉动脉瘤的神经外科治疗演变。
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