前颞叶入路夹闭高位基底动脉尖部动脉瘤：病例报告及手术技术回顾
Anterior Temporal Approach and Clipping of a High-Riding Basilar Tip Aneurysm: Case Report and Review of the Surgical Technique.
作者信息
Musara Aaron, Yamada Yasuhiro, Takizawa Katsumi, Seng Liew Boon, Kawase Tsukasa, Miyatani Kyosuke, Tanaka Rikki, Higashiguchi Saeko, Kumar Ambuj, Kutty Raja Krishnan, Ravisankar Vigneshwar, Kato Yoko, Teranishi Takao
机构信息
Department of Surgery, Neurosurgery Unit, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe.
Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya, Aichi, Japan.
出版信息
Asian J Neurosurg. 2019 Nov 25;14(4):1283-1287. doi: 10.4103/ajns.AJNS_121_19. eCollection 2019 Oct-Dec.
Basilar apex aneurysms constitute 5%-8% of all intracranial aneurysms. Microsurgical clipping of basilar tip aneurysms is still advocated for as it is safe, especially for unruptured basilar tip aneurysms which have a low risk of postoperative mortality or morbidity. Careful patient preparation is needed preoperatively because the risk of intraoperative rupture is significant. Good surgical techniques should be applied. The skill will need to be preserved as endovascular surgery becomes more popular. This is a case of basilar tip aneurysm managed by clipping through the anterior temporal approach, followed by a review of the literature.
基底动脉尖部动脉瘤占所有颅内动脉瘤的5%-8%。基底动脉尖部动脉瘤的显微外科夹闭术仍被提倡，因为它是安全的，特别是对于未破裂的基底动脉尖部动脉瘤，其术后死亡率或发病率较低。术前需要对患者进行仔细准备，因为术中破裂风险很大。应采用良好的手术技术。随着血管内手术越来越普及，这种技能仍需保留。这是一例通过前颞叶入路夹闭治疗的基底动脉尖部动脉瘤病例，并对相关文献进行了综述。
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