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颅内假性动脉瘤:评估与管理

Intracranial Pseudoaneurysms: Evaluation and Management.

作者信息

Zheng Yongtao, Lu Zheng, Shen Jianguo, Xu Feng

机构信息

Department of Neurosurgery, Huashan Hospital, Shanghai Medical School, Fudan University, Shanghai, China.

Department of Neurosurgery, Hai'an People's Hospital, Nantong, China.

出版信息

Front Neurol. 2020 Jul 7;11:582. doi: 10.3389/fneur.2020.00582. eCollection 2020.

DOI:10.3389/fneur.2020.00582
PMID:32733358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7358534/
Abstract

Intracranial pseudoaneurysms account for about 1% of intracranial aneurysms with a high mortality. The natural history of intracranial pseudoaneurysm is not well-understood, and its management remains controversial. This review provides an overview of the etiology, pathophysiology, clinical presentation, imaging, and management of intracranial pseudoaneurysms. Especially, this article emphasizes the factors that should be considered for the most appropriate management strategy based on the risks and benefits of each treatment option.

摘要

颅内假性动脉瘤约占颅内动脉瘤的1%,死亡率较高。颅内假性动脉瘤的自然病史尚不清楚,其治疗仍存在争议。本文综述了颅内假性动脉瘤的病因、病理生理学、临床表现、影像学及治疗。特别是,本文强调了基于每种治疗方案的风险和益处,在制定最恰当的治疗策略时应考虑的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c31/7358534/b90cc9f9c4c5/fneur-11-00582-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c31/7358534/fab4d3fcc8a6/fneur-11-00582-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c31/7358534/a7538c6455fd/fneur-11-00582-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c31/7358534/a25d559a1917/fneur-11-00582-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c31/7358534/b90cc9f9c4c5/fneur-11-00582-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c31/7358534/fab4d3fcc8a6/fneur-11-00582-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c31/7358534/a7538c6455fd/fneur-11-00582-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c31/7358534/a25d559a1917/fneur-11-00582-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c31/7358534/b90cc9f9c4c5/fneur-11-00582-g0004.jpg

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World Neurosurg. 2020 Apr;136:198-204. doi: 10.1016/j.wneu.2019.12.179. Epub 2020 Jan 9.
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Spontaneous Perforation of Anterior Choroidal Artery with Resultant Pseudoaneurysm Formation: Unusual Cause of Subarachnoid Hemorrhage.脉络膜前动脉自发性穿孔伴假性动脉瘤形成:蛛网膜下腔出血的不常见病因。
World Neurosurg. 2020 Feb;134:141-144. doi: 10.1016/j.wneu.2019.10.174. Epub 2019 Nov 4.
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假性动脉瘤与颈内动脉异常之间鲜为人知的关联:病例系列
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J Neurosurg Case Lessons. 2025 Jun 16;9(24). doi: 10.3171/CASE2591.
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