Qingdao University, Qingdao, China.
Department of Neurosurgery, Affiliated Hospital of Qingdao University, Qingdao, China.
World Neurosurg. 2019 Jul;127:165-175. doi: 10.1016/j.wneu.2019.03.275. Epub 2019 Apr 4.
There are some controversies about the surgical treatment strategy of mirror aneurysms. Whether to choose 1-stage or 2-stage surgery, bilateral or unilateral craniotomy, or surgical or interventional treatment are the main points in dispute. In this review, the different surgery strategies faced by patients are discussed. Different surgical methods are adopted based on the patient's individual state and the location and size of the aneurysm. A new imaging method is introduced using 3D Slicer, which clearly recognizes the relationship among aneurysm, brain tissue, skull, and nerve. The 3D Slicer can help surgeons undertake adequate preoperative preparation. In addition, we also introduce some ruptured factors (e.g., age, gender, hypertension, morphologic, and hemodynamic) concerning mirror aneurysm. Systematic discussion of the controversies and methods in surgical treatment of mirror aneurysms may provide new perspectives in future research for the prevention and treatment of mirror aneurysms.
关于镜像动脉瘤的手术治疗策略存在一些争议。选择一期还是二期手术、双侧还是单侧开颅、手术还是介入治疗，都是主要的争议点。本文综述了患者面临的不同手术策略。根据患者的个体状态以及动脉瘤的位置和大小，采用不同的手术方法。本文还介绍了一种新的使用 3D Slicer 的成像方法，该方法可以清楚地识别动脉瘤、脑组织、颅骨和神经之间的关系。3D Slicer 可以帮助外科医生进行充分的术前准备。此外，我们还介绍了一些与镜像动脉瘤有关的破裂因素（如年龄、性别、高血压、形态和血流动力学）。对镜像动脉瘤手术治疗的争议和方法进行系统的讨论，可能为镜像动脉瘤的预防和治疗提供新的研究视角。
