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脑动脉瘤管理的进展:神经解剖学、病理生理学和神经外科技巧的整合。

Advancements in Brain Aneurysm Management: Integrating Neuroanatomy, Physiopathology, and Neurosurgical Techniques.

机构信息

Neurosurgical Department, Carol Davila University of Medicine and Pharmacy, 020022 Bucharest, Romania.

Neurosurgical Department, Bagdasar-Arseni Clinical Emergency Hospital, 041915 Bucharest, Romania.

出版信息

Medicina (Kaunas). 2024 Nov 6;60(11):1820. doi: 10.3390/medicina60111820.

Abstract

Brain aneurysms, characterized by abnormal bulging in blood vessels, pose significant risks if ruptured, necessitating precise neuroanatomical knowledge and advanced neurosurgical techniques for effective management. This article delves into the intricate neuroanatomy relevant to brain aneurysms, including the vascular structures and critical regions involved. It provides a comprehensive overview of the pathophysiology of aneurysm formation and progression. The discussion extends to modern neurosurgical approaches for treating brain aneurysms, such as microsurgical clipping, endovascular coiling, and flow diversion techniques. Emphasis is placed on preoperative planning, intraoperative navigation, and postoperative care, highlighting the importance of a multidisciplinary approach. By integrating neuroanatomical insights with cutting-edge surgical practices, this article aims to enhance the understanding and treatment outcomes of brain aneurysms.

摘要

脑动脉瘤是一种以血管异常膨大为特征的疾病,如果破裂会带来严重风险,因此需要精确的神经解剖学知识和先进的神经外科技术来进行有效的管理。本文深入探讨了与脑动脉瘤相关的复杂神经解剖学,包括涉及的血管结构和关键区域。本文全面介绍了动脉瘤形成和发展的病理生理学。讨论还扩展到了治疗脑动脉瘤的现代神经外科方法,如显微手术夹闭、血管内栓塞和血流导向技术。本文强调了术前规划、术中导航和术后护理的重要性,突出了多学科方法的重要性。通过将神经解剖学的见解与先进的手术实践相结合,本文旨在提高对脑动脉瘤的理解和治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3f2/11596862/e2595dca0a34/medicina-60-01820-g001.jpg

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