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颞叶脑膜瘤并发多发颅内动脉瘤。

Temporal lobe meningioma concurrent with multiple intracranial aneurysms.

作者信息

Wu Xia, Li Shun, Xie Chang-Li, Tang Xiaoping

机构信息

Department of Neurosurgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, People's Republic of China.

出版信息

J Surg Case Rep. 2021 Feb 19;2021(2):rjaa581. doi: 10.1093/jscr/rjaa581. eCollection 2021 Feb.

DOI:10.1093/jscr/rjaa581
PMID:33643605
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7896839/
Abstract

Aneurysms in the internal carotid artery, specifically the ophthalmic artery segment, have a lower incidence than any other type of aneurysm. Cases showing simultaneous intracranial aneurysms and meningiomas are extremely rare. This report shares a case of an adult female diagnosed with a deep temporal lobe meningioma concurrent with bilateral internal carotid artery-ophthalmic segment aneurysms. One-stage surgery with coronal incisions and a right frontotemporal craniotomy was performed for this patient. The lesion was first removed along the tumor margin, and the anterior clinoid process was removed. The aneurysm was clipped using an aneurysm clip. The frontal lobe was lifted from the right side, the optic chiasm was separated, the left internal carotid artery was exposed and ophthalmic segment of the left internal carotid artery aneurysm was clipped using a combination of two cross-vessel clips.

摘要

颈内动脉动脉瘤，特别是眼动脉段动脉瘤，其发病率低于其他任何类型的动脉瘤。同时出现颅内动脉瘤和脑膜瘤的病例极为罕见。本报告分享了一例成年女性病例，该患者被诊断为颞叶深部脑膜瘤并发双侧颈内动脉眼动脉段动脉瘤。对该患者实施了冠状切口和右额颞开颅的一期手术。首先沿肿瘤边缘切除病变组织，并切除前床突。使用动脉瘤夹夹闭动脉瘤。从右侧抬起额叶，分离视交叉，暴露左侧颈内动脉，并使用两个交叉血管夹夹闭左侧颈内动脉眼动脉段动脉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb0/7896839/added6966c73/rjaa581f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb0/7896839/882771e2c3cc/rjaa581f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb0/7896839/317fefa310ef/rjaa581f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb0/7896839/45449e993bc1/rjaa581f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb0/7896839/added6966c73/rjaa581f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb0/7896839/882771e2c3cc/rjaa581f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb0/7896839/317fefa310ef/rjaa581f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb0/7896839/45449e993bc1/rjaa581f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdb0/7896839/added6966c73/rjaa581f4.jpg

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Flow diversion for internal carotid artery aneurysms: Impact of complex aneurysm features and overview of outcome.血流导向装置治疗颈内动脉动脉瘤：复杂动脉瘤特征的影响及结果概述。
Clin Neurol Neurosurg. 2020 Jun;193:105782. doi: 10.1016/j.clineuro.2020.105782. Epub 2020 Mar 19.
2
Coexistence of intracranial solitary fibrous tumor/hemangiopericytoma and right middle cerebral artery aneurysm.颅内孤立性纤维瘤/血管外皮细胞瘤与右大脑中动脉瘤并存。
J Surg Case Rep. 2019 Jan 31;2019(1):rjz013. doi: 10.1093/jscr/rjz013. eCollection 2019 Jan.
3
Flow Diverters for Treatment of 160 Ophthalmic Segment Aneurysms: Evaluation of Safety and Efficacy in a Multicenter Cohort.
用于治疗160例眼动脉段动脉瘤的血流导向装置：多中心队列研究中的安全性和有效性评估
Neurosurgery. 2017 May 1;80(5):726-732. doi: 10.1093/neuros/nyw110.
4
Patient- and Aneurysm-Specific Risk Factors for Intracranial Aneurysm Growth: A Systematic Review and Meta-Analysis.颅内动脉瘤生长的患者及动脉瘤特异性危险因素：一项系统评价与荟萃分析
Stroke. 2016 Apr;47(4):951-7. doi: 10.1161/STROKEAHA.115.012162. Epub 2016 Feb 23.
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