Fukaya Raita, Yanagisawa Kaoru, Fukuchi Masahito, Fujii Koji
Department of Neurosurgery, Shizuoka City Shimizu Hospital , Shizuoka , Japan.
Department of Neurosurgery, Keio University School of Medicine , Tokyo , Japan.
Br J Neurosurg. 2019 Oct;33(5):591-593. doi: 10.1080/02688697.2017.1394446. Epub 2017 Oct 26.
We experienced an extremely rare case of a giant P1-P2 partially thrombosed aneurysm associated with bilateral ICA occlusion in a Klippel-Trenaunay syndrome patient. In our experience, direct surgical clipping via a pterional approach is generally favored for aneurysms located in the junction of the P1-P2 segments, even if they are giant.
我们遇到了一例极为罕见的病例,一名患有Klippel-Trenaunay综合征的患者出现了巨大的P1-P2段部分血栓形成的动脉瘤,并伴有双侧颈内动脉闭塞。根据我们的经验,对于位于P1-P2段交界处的动脉瘤,即使是巨大动脉瘤,通常也倾向于采用翼点入路直接进行手术夹闭。