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大脑中动脉重复分支起始处的未破裂脑动脉瘤。

An Unruptured Cerebral Aneurysm at the Origin of the Duplicated Middle Cerebral Artery.

作者信息

Kim Jin Seong, Lee Chul-Hee, Park Hyun, Han Jong-Woo

机构信息

Department of Neurosurgery, Gyeongsang National University School of Medicine and Gyeongsang National University Hospital, Jinju, Korea.

出版信息

J Cerebrovasc Endovasc Neurosurg. 2015 Sep;17(3):223-6. doi: 10.7461/jcen.2015.17.3.223. Epub 2015 Sep 30.

DOI:10.7461/jcen.2015.17.3.223
PMID:26523256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4626346/
Abstract

A variety of cerebral vascular anomalies are widely applied, however anomalies of the middle cerebral artery (MCA) are relatively infrequent. The duplicated MCA (DMCA) is a MCA anomaly. Aneurysm arising from the origin of the DMCA is rare. Cerebral angiography in a 61-year-old female demonstrated a small (about 3 mm) saccular aneurysm located at the origin of the DMCA in the anterior direction. Considering the unusual location, the lesion was treated, regardless of the size. Aneurysmal characteristics of a broad neck and small size limited the endovascular approach, necessitating open surgery. Her postoperative course was uneventful and postoperative angiography showed complete obliteration of the aneurysm. The patient was discharged without neurologic deficit.

摘要

多种脑血管畸形被广泛应用，然而大脑中动脉（MCA）畸形相对少见。双大脑中动脉（DMCA）是一种MCA畸形。起源于DMCA的动脉瘤罕见。一名61岁女性的脑血管造影显示一个小（约3毫米）的囊状动脉瘤位于DMCA起始部向前方向。考虑到其不寻常的位置，无论大小，该病变均接受了治疗。宽颈和小尺寸的动脉瘤特征限制了血管内治疗方法，因此需要进行开放手术。她的术后过程顺利，术后血管造影显示动脉瘤完全闭塞。患者出院时无神经功能缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/979c4a49c72e/jcen-17-223-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/0776f648310a/jcen-17-223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/8c752b55a826/jcen-17-223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/197706e6c6e8/jcen-17-223-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/04483003a26c/jcen-17-223-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/979c4a49c72e/jcen-17-223-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/0776f648310a/jcen-17-223-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/8c752b55a826/jcen-17-223-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/197706e6c6e8/jcen-17-223-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/04483003a26c/jcen-17-223-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e20/4626346/979c4a49c72e/jcen-17-223-g005.jpg

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本文引用的文献

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Management of aneurysms at the origin of duplicated middle cerebral artery: series of four patients with review of the literature.双重大脑中动脉起源处动脉瘤的处理：4 例患者系列及文献复习。
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[Unruptured saccular aneurysm at the origin of the duplicated middle cerebral artery: reports of two cases and review of the literature].
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J Cerebrovasc Endovasc Neurosurg. 2021 Sep;23(3):240-244. doi: 10.7461/jcen.2021.E2020.10.004. Epub 2021 Sep 2.
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The Clinical Characteristics and Treatment Considerations for Intracranial Aneurysms Associated With Middle Cerebral Artery Anomalies: A Systematic Review.大脑中动脉异常相关颅内动脉瘤的临床特征及治疗考量：一项系统综述
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