短暂性脑缺血发作或可逆性缺血性神经功能缺损患者的未破裂动脉瘤。8例报告。

Unruptured aneurysms in patients with transient ischemic attack or reversible ischemic neurological deficit. Report of eight cases.

作者信息

Ohno K, Suzuki R, Masaoka H, Matsushima Y, Monma S, Inaba Y

机构信息

Department of Neurosurgery, Tokyo Medical and Dental University, Japan.

出版信息

Clin Neurol Neurosurg. 1989;91(3):229-33. doi: 10.1016/0303-8467(89)90116-9.

DOI:10.1016/0303-8467(89)90116-9

PMID:2548787

Abstract

Thirty-five patients with unruptured aneurysms were treated between 1981 and 1987. Eight of them had either transient ischemic attacks or reversible ischemic neurological deficits as their presenting symptoms. Six of the eight patients underwent direct aneurysm surgery. All eight patients are well, and have had no recurrent attack during the follow-up period ranging from 2 to 7 years. The feasibility of surgical treatment for such aneurysms associated with reversible ischemic symptoms is discussed.

摘要

1981年至1987年间，对35例未破裂动脉瘤患者进行了治疗。其中8例以短暂性脑缺血发作或可逆性缺血性神经功能缺损为首发症状。这8例患者中有6例接受了动脉瘤直接手术。所有8例患者情况良好，在2至7年的随访期内均未复发。本文讨论了对此类伴有可逆性缺血症状的动脉瘤进行手术治疗的可行性。