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病例报告:三个动脉瘤的不同转归:合并其他颅内疾病的未破裂颅内动脉瘤的诊断与治疗策略

Case Report: The Different Fates of Three Aneurysms: Diagnosis and Treatment Strategies for Unruptured Intracranial Aneurysms With Other Intracranial Diseases.

作者信息

Guo Gaochao, Zhao Liming, Wu Ruiyu, Xue Bingqian, Zhang Shao, Liang Hao, Gao Tao, Sun Yuxue, Liu Yang, Li Chaoyue

机构信息

Henan Provincial People's Hospital, Cerebrovascular Disease Hospital, Zhengzhou, China.

Department of Neurosurgery, Zhengzhou University People's Hospital, Zhengzhou, China.

出版信息

Front Surg. 2022 May 10;9:863718. doi: 10.3389/fsurg.2022.863718. eCollection 2022.

Abstract

Intracranial aneurysms are vascular diseases characterized by local aneurysms of intracranial arteries. Their etiology involves a variety of environmental and genetic factors. Unruptured intracranial aneurysms (UIAs) are more common in intracranial aneurysms, but once an aneurysm is ruptured, the fatality rate and disability rate are extremely high. Therefore, accurate assessment of each step in the detection of intracranial aneurysms, assessment of the risk of rupture, formulation of treatment strategies, and treatment benefits will help to better treat the disease. At present, the treatment of intracranial aneurysms is limited. Except for surgical intervention, there are no other effective methods. Therefore, when a patient has a UIA, the formulation of treatment and management strategies is a difficult issue facing neurosurgery. This article introduces the choice of different treatment strategies for 3 patients with intracranial aneurysms complicated with other diseases and reviews the literature.

摘要

颅内动脉瘤是一种以颅内动脉局部动脉瘤为特征的血管疾病。其病因涉及多种环境和遗传因素。未破裂颅内动脉瘤(UIAs)在颅内动脉瘤中更为常见,但一旦动脉瘤破裂,病死率和致残率极高。因此,准确评估颅内动脉瘤检测的每一步、评估破裂风险、制定治疗策略以及治疗益处,将有助于更好地治疗该疾病。目前,颅内动脉瘤的治疗方法有限。除了手术干预外,没有其他有效的方法。因此,当患者患有未破裂颅内动脉瘤时,制定治疗和管理策略是神经外科面临的一个难题。本文介绍了3例合并其他疾病的颅内动脉瘤患者不同治疗策略的选择并进行文献复习。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a94/9127294/829f451ca18b/fsurg-09-863718-g0001.jpg

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