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[脉络膜前动脉的正常与病理症状学]

[Normal and pathologic semiology of the anterior choroidal artery].

作者信息

Gonzalez Maldonado R, Moldenhauer Gómez F, Vara Thorbeck R

出版信息

Zentralbl Neurochir. 1984;45(2):134-40.

PMID:6485642
Abstract

In the normal individual, the anterior choroidal artery (ACA) has a rather fixed angiographic trajectory, but in patients with intracranial tumors it almost invariably has a modified course, the nature of the modification being dependent on the topography of the lesion. Authors employ the parameters used up through the present for objectivating the course of the anterior choroidal artery, and add others of theirs own, especially in regard to the relative location of various points on the vessel (rather than their isolated positions). A total of 28 measurements were taken for each of the 132 angiographic series studied: 31 normal individuals and 101 with diverse intracranial lesions. Every value was entered into a computer along with (by numerical coding) personal data, incidental factors and, in the pathological series, the topography of the preferrent (primary) lesion and secondary lesion (tumoral extension), as well as the possible coexistence of hydrocephaly and/or transtentorial herniation. This procedure allowed for an exhaustive analysis of each factor involved, which could be studied individually or in combination within each of the groups and subgroups established. In this way the extensive results could be readily interpreted.

摘要

在正常个体中,脉络膜前动脉(ACA)在血管造影上有相当固定的走行轨迹,但在颅内肿瘤患者中,其走行几乎总是发生改变,改变的性质取决于病变的位置。作者采用了目前为止用于客观描述脉络膜前动脉走行的参数,并添加了他们自己的参数,特别是关于血管上各点的相对位置(而非孤立位置)。对所研究的132个血管造影系列中的每一个,共进行了28项测量:31名正常个体和101名患有各种颅内病变的患者。每个数值都与个人数据、偶然因素一起输入计算机,在病理系列中,还包括优势(原发)病变和继发病变(肿瘤扩展)的位置,以及脑积水和/或小脑幕切迹疝可能并存的情况。这一程序使得对每个相关因素进行详尽分析成为可能,这些因素可以在每个既定的组和亚组内单独或组合进行研究。通过这种方式,大量的结果能够很容易地得到解释。

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