临床误诊误治2018，Vol.31Issue(2)：51-55,5.DOI:10.3969/j.issn.1002-3429.2018.02.015
多发性颅内动脉瘤临床报告并文献复习
A Report and Literature Review of Intracranial Multiple Aneurysms
摘要
Abstract
Objective To investigate clinical features and surgical methods of multiple intracranial aneurysms (MIA). Methods Clinical data of 2 MIA patients,which had respectively selected interventional embolization and cranioto-my closed surgery,was retrospectively analyzed, and related literature was reviewed. Results Two patients were admitted for headache associated by nausea and vomiting for more than 1 h,and headache associated by left blepharoptosis and left eye blurred vision for 12 d respectively. The two patients were diagnosed as having MIA by related examinations, and aneurysms number was 5. Personal conditions,case history and clinical data were comprehensively analyzed, and then the two patients were treated with interventional embolization and craniotomy closed surgery respectively,and the surgeries were both success-ful. Postoperatively cranial digital subtraction angiography showed that all the 5 aneurysms were embolized in one patient. Cra-nial spiral CT angiography showed that the aneurysm was fixed in place without stenosis in the lumen in another patient. Con-ditions of the two patients were stable with postoperative follow-up for 1 year and 3 months. Conclusion The key for success-ful treatment of MIA is selection of the most suitable treatment for various factors by comprehensive analysis.关键词
颅内动脉瘤/神经外科手术/栓塞,治疗性/开颅夹闭术Key words
Intracranial aneurysm/Neurosurgical procedures/Embolization,therapeutic/Craniotomy closed surgery分类
医药卫生引用本文复制引用
赵梦洋,姚声涛..多发性颅内动脉瘤临床报告并文献复习[J].临床误诊误治,2018,31(2):51-55,5.基金项目
国家自然科学基金(81660211) （81660211）
