大脑前动脉破裂梭形动脉瘤的成功显微手术夹闭。病例报告及文献复习。

Successful microsurgical clipping of ruptured fusiform aneurysm of the anterior cerebral artery. Case report and review of the literature.

作者信息

Dzhindzhikhadze Revaz, Polyakov Andrey, Dreval Oleg, Lazarev Valeriy

机构信息

Department of Neurosurgery, Moscow Regional Scientific Research Institute.

Department of Neurosurgery, Russian Medical Academy for Continuing Professional Education, Moscow, Russia.

出版信息

Surg Neurol Int. 2020 Dec 16;11:445. doi: 10.25259/SNI_727_2020. eCollection 2020.

DOI:10.25259/SNI_727_2020

PMID:33408930

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7771509/

Abstract

BACKGROUND

Fusiform aneurysms (FA) of the anterior cerebral artery (ACA) are found rarely. The common clinical presentation is a subarachnoid hemorrhage (SAH). Surgery is the main treatment to prevent rebleeding.

CASE DESCRIPTION

The authors present a case report of the ruptured FA of the ACA. The presented case demonstrates the successful microsurgical clipping of the fusiform ACA aneurysm.

CONCLUSION

A1-segment FA can lead to SAH with poor prognosis. The main goal of surgical treatment is to prevent rebleeding. Direct microsurgical clipping is one of the surgical options.

摘要