Synowitz H J, Unger R R, Schulz W
Neurochirurgischen Abteilung, Bereichs Medizin (Charite) der Humboldt-Universität zu Berlin.
Zentralbl Neurochir. 1987;48(2):137-41.
In 116 patients operated on because of aneurysms we found 125 aneurysms, one convexity meningioma, and one A. V. supratentorial angioma. In 9 patients (8%) more than one aneurysm were found. In 8 patients there were double aneurysms and on one case 4 aneurysms, 18 of these 20 aneurysms were clipped. If these were situated on the same side they were treated simultaneously. If they were situated on two sides, the aneurysms were clipped in two surgical interventions. In 2 patients one of the two aneurysms remained untreated. Two interventions were also carried out for the combination aneurysm/tumor. After clipping the aneurysm, the meningioma was removed after an appropriate interval.
在116例因动脉瘤接受手术的患者中,我们发现了125个动脉瘤、1例凸面脑膜瘤和1例幕上动静脉血管瘤。9例患者(8%)发现不止一个动脉瘤。8例患者有双动脉瘤,1例有4个动脉瘤,这20个动脉瘤中的18个进行了夹闭。如果这些动脉瘤位于同一侧,则同时进行治疗。如果位于两侧,则在两次手术中分别夹闭动脉瘤。2例患者中,两个动脉瘤中的一个未治疗。对于动脉瘤合并肿瘤也进行了两次手术。夹闭动脉瘤后,在适当间隔后切除脑膜瘤。