大脑前动脉远端的接吻性动脉瘤：一例报告及文献综述
Kissing aneurysms of the distal anterior cerebral artery: A case report and literature review.
作者信息
Fu Chuan-Yi, Chen Jian-Long, Liu Zhao-Hui, Wang Peng-Cheng, Duan Chuan-Zhi, Zhao Jian-Nong
机构信息
Department of Neurosurgery, The National Key Clinic Specialty, Hainan General Hospital, Hainan Clinical Medicine Research Institution, Haikou, Hainan 570311, P.R. China.
Department of Neurosurgery, The National Key Clinic Specialty, The Engineering Technology Research Center of Education Ministry of China, Guangdong Provincial Key Laboratory on Brain Function Repair and Regeneration, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong 510282, P.R. China.
出版信息
Exp Ther Med. 2018 Apr;15(4):3471-3476. doi: 10.3892/etm.2018.5854. Epub 2018 Feb 9.
Intracranial 'kissing' aneurysms are rare types of multiple aneurysms referring to two adjacent aneurysms arising from identical or different arteries with separate origins and partially adherent walls. The present study reported a 54-year-old female patient, who was identified with a 'kissing' aneurysm in the A3 segment of the bilateral anterior cerebral arteries, as demonstrated by head computed tomography and emergency cerebral digital subtraction angiography analysis. In total, 12 days following the clipping of the aneurysms, the patient was discharged with a Modified Rankin Scale=0 and recovered well with no neurological deficits. Based on previous literature, it was indicated that the majority of patients with 'kissing' aneurysm have a good prognosis and the cure rate is as high as 96.8%. However, the recovery rate may not be that high as the sample size is not large enough to thoroughly demonstrate the complete prognosis of 'kissing' aneurysms.
颅内“亲吻”动脉瘤是一种罕见的多发性动脉瘤，指的是两个相邻的动脉瘤，它们起源于相同或不同的动脉，有各自独立的起源且部分壁粘连。本研究报告了一名54岁女性患者，经头部计算机断层扫描和紧急脑数字减影血管造影分析证实，其双侧大脑前动脉A3段存在“亲吻”动脉瘤。动脉瘤夹闭术后12天，患者出院时改良Rankin量表评分为0，恢复良好，无神经功能缺损。根据以往文献，表明大多数“亲吻”动脉瘤患者预后良好，治愈率高达96.8%。然而，由于样本量不够大，无法充分证明“亲吻”动脉瘤的完整预后，其恢复率可能没有那么高。
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