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大脑后动脉P2P段动脉瘤：病例报告及手术步骤

Aneurysms of the P2P Segment of Posterior Cerebral Artery: Case Report and Surgical Steps.

作者信息

Aguiar Paulo, Gatto Luana, Neves Maick, Martins Carlos, Nakasone Fabio, Isolan Gustavo

机构信息

Department of Neurosurgery, Santa Paula Hospital, Rua Barata Ribeiro 239/12, Bela Vista, 01332-001 São Paulo, SP, Brazil.

Department of Neurosurgery, Cajuru University Hospital, Pontifícia Universidade Católica do Paraná, Rua Sao Jose 300, Cristo Rei, 80050-350 Curitiba, PR, Brazil.

出版信息

Case Rep Med. 2014;2014:325414. doi: 10.1155/2014/325414. Epub 2014 Dec 9.

DOI:10.1155/2014/325414
PMID:25548571
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4274853/
Abstract

The posterior cerebral artery (PCA) is divided into 4 segments: precommunicating segment (P1), postcommunicating segment (P2), quadrigeminal segment (P3), and calcarine segment (P4). Small aneurysms are more prevalent than large aneurysms in patients with ruptured aneurysms. P2 and P3 aneurysms are usually managed by the subtemporal approach. This is a case report of rupture saccular aneurysm of posterior cerebral artery on P2P segment. The authors show the surgical steps of these rare aneurysms with an illustrative case.

摘要

大脑后动脉（PCA）分为4段：交通前段（P1）、交通后段（P2）、四叠体段（P3）和距状沟段（P4）。在动脉瘤破裂患者中，小动脉瘤比大动脉瘤更常见。P2和P3段动脉瘤通常采用颞下入路进行治疗。本文报告1例大脑后动脉P2P段破裂囊状动脉瘤的病例。作者通过1例说明性病例展示了这些罕见动脉瘤的手术步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05b4/4274853/26b46ddb8542/CRIM2014-325414.009.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05b4/4274853/32c730497a89/CRIM2014-325414.004.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05b4/4274853/5bd961ac7604/CRIM2014-325414.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05b4/4274853/7bdcc98e9c18/CRIM2014-325414.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05b4/4274853/0d38f7b8109e/CRIM2014-325414.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05b4/4274853/26b46ddb8542/CRIM2014-325414.009.jpg

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本文引用的文献

1
Particle image velocimetry (PIV) evaluation of flow modification in aneurysm phantoms using asymmetric stents.使用不对称支架对动脉瘤模型中血流改变进行粒子图像测速技术（PIV）评估。
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The current role of microsurgery for posterior circulation aneurysms: a selective approach in the endovascular era.显微外科手术在治疗后循环动脉瘤中的当前作用：血管内治疗时代的一种选择性方法。
Neurosurgery. 2008 Jun;62(6):1236-49; discussion 1249-53. doi: 10.1227/01.neu.0000333295.59738.de.
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Parent vessel occlusion for P2 dissecting aneurysms of the posterior cerebral artery.
大脑后动脉P2段夹层动脉瘤的母血管闭塞术
Surg Neurol. 2009 Mar;71(3):319-25, discussion 325. doi: 10.1016/j.surneu.2008.01.047. Epub 2008 Apr 28.
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Subtemporal approach for a P2-P3 junction aneurysm of the posterior cerebral artery.颞下入路治疗大脑后动脉P2-P3段交界处动脉瘤
J Clin Neurosci. 2007 May;14(5):494-7. doi: 10.1016/j.jocn.2006.02.003. Epub 2007 Mar 7.
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Microsurgical anatomy of the posterior circulation.后循环的显微外科解剖学
Neurol India. 2007 Jan-Mar;55(1):31-41. doi: 10.4103/0028-3886.30424.
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Revascularization of the posterior circulation.后循环血管重建
Skull Base. 2005 Feb;15(1):43-62. doi: 10.1055/s-2005-868162.
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Skull Base. 2004 Nov;14(4):185-93; discussion 193. doi: 10.1055/s-2004-860946.
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Aneurysms of the posterior cerebral artery: retrospective review of surgical treatment.大脑后动脉动脉瘤：手术治疗的回顾性研究
Neurol Med Chir (Tokyo). 2004 Apr;44(4):164-8; discussion 169. doi: 10.2176/nmc.44.164.
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Specific characteristics and management strategies of cerebral artery aneurysms: report of eleven cases.
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Aneurysm of the posterior cerebral artery: report of eleven cases--surgical approaches and procedures.大脑后动脉动脉瘤：11例报告——手术入路与操作
Neurosurgery. 1993 Feb;32(2):163-7; discussion 167-8. doi: 10.1227/00006123-199302000-00002.