Sakaguchi M, Murata K, Nishio A, Saitoh M, Hakuba A, Nishimura S
Department of Neurosurgery, Shimada Municipal Hospital, Shizuoka, Japan.
Surg Neurol. 1989 Apr;31(4):300-9. doi: 10.1016/0090-3019(89)90056-6.
We have collected four cases of supergiant cerebral aneurysm, each greater than 6.0 cm in diameter. Two of these cases were saccular aneurysms of the anterior communicating artery and middle cerebral artery, of which the necks were clipped with resection of the aneurysms. Another patient had a fusiform aneurysm of the middle cerebral artery, which was resected accompanied by a reconstructive procedure of cerebral blood flow. The last patient had a fusiform aneurysm of the internal carotid artery. Following internal carotid artery occlusion surgery with superficial temporal artery-middle cerebral artery anastomosis, the aneurysm completely disappeared radiologically within several months.
我们收集了4例巨大脑动脉瘤病例，每例直径均大于6.0厘米。其中2例为前交通动脉和大脑中动脉的囊状动脉瘤，对其瘤颈进行夹闭并切除动脉瘤。另1例患者患有大脑中动脉梭形动脉瘤，切除该动脉瘤的同时进行了脑血流重建手术。最后1例患者患有颈内动脉梭形动脉瘤。在进行颈内动脉闭塞手术并颞浅动脉-大脑中动脉吻合术后，该动脉瘤在数月内影像学检查显示完全消失。
