Fox J L
Division of Neurosurgery, Georgetown University Medical Center, Washington, District of Columbia.
Neurosurgery. 1988 Jan;22(1 Pt 1):32-9. doi: 10.1227/00006123-198801010-00005.
Eight cases of ventral (paraclinoid) internal carotid artery aneurysms are presented. These aneurysms often challenge the surgeon because (a) they are partially or completely obscured by the optic nerve, internal carotid artery, and anterior clinoid process; (b) there is no proximal internal carotid artery control intracranially; and (c) part of the neck and fundus of the aneurysm is located within the cavernous sinus. These aneurysms, which have been classified as separate from the typical carotid-ophthalmic aneurysm group, are illustrated, and their surgical treatment and problems described.
本文报告8例腹侧(床突旁)颈内动脉瘤。这些动脉瘤常常给外科医生带来挑战,原因如下:(a)它们部分或完全被视神经、颈内动脉和前床突遮挡;(b)颅内没有近端颈内动脉控制;(c)动脉瘤的部分颈部和瘤底位于海绵窦内。本文展示了这些已被归类为与典型颈内动脉-眼动脉瘤组不同的动脉瘤,并描述了其手术治疗及相关问题。