Konishi Y, Sato E, Shiokawa Y, Yazaki H, Hara M, Saito I
Department of Neurosurgery, Kyorin University School of Medicine, Tokyo, Mitakashi, Japan.
Surg Neurol. 1998 Oct;50(4):363-6. doi: 10.1016/s0090-3019(97)00282-6.
Whereas multiple aneurysms may be found in 20% of patients in whom one aneurysm is discovered, the identification of five vertebrobasilar aneurysms is distinctly rare. We described such a case treated by surgical and endovascular method.
A case of multiple aneurysms treated with combined surgical clipping and intravascular surgery is described. Five separate posterior circulation aneurysms and bilateral internal carotid artery occlusion were identified in one patient. Three of the aneurysms were treated surgically. Access to the fourth aneurysm was deemed difficult because of its location and because of the previously placed surgical clips; this aneurysm was treated by endovascular approaches that provided optimum therapy in this unusual multiple aneurysms case.
We have described an unusual case of multiple posterior circulation aneurysms in the setting of bilateral internal carotid occlusions, treated by a combination of surgical and endovascular therapies. We will be able to provide safer treatment for such difficult cases in the future.
尽管在发现一个动脉瘤的患者中，20%可能会发现多个动脉瘤，但发现五个椎基底动脉瘤的情况极为罕见。我们描述了这样一例采用手术和血管内治疗方法的病例。
描述了一例采用手术夹闭和血管内手术联合治疗的多发动脉瘤病例。在一名患者中发现了五个独立的后循环动脉瘤和双侧颈内动脉闭塞。其中三个动脉瘤接受了手术治疗。由于第四个动脉瘤的位置以及先前放置的手术夹，认为难以对其进行手术；该动脉瘤采用血管内治疗方法，在此例不寻常的多发动脉瘤病例中提供了最佳治疗。
我们描述了一例双侧颈内动脉闭塞情况下多发后循环动脉瘤的不寻常病例，采用手术和血管内治疗相结合的方法进行治疗。未来我们将能够为这类困难病例提供更安全的治疗。
