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.
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.
背景
大脑前动脉（ACA）的梭形动脉瘤（FA）很少见。常见的临床表现是蛛网膜下腔出血（SAH）。手术是预防再出血的主要治疗方法。
病例描述
作者报告了一例ACA的破裂FA病例。该病例展示了梭形ACA动脉瘤成功的显微手术夹闭。
结论
A1段FA可导致预后不良的SAH。手术治疗的主要目标是预防再出血。直接显微手术夹闭是手术选择之一。
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