临床神经外科杂志Issue(2)：104-108,5.DOI:10.3969/j.issn.1672-7770.2019.02.003
3 D Slicer 软件辅助大脑中动脉 M4 段动脉瘤手术 1 例及文献复习
A case of 3D Slicer assisted surgery for M4 middle cerebral artery aneurysm and literature review
摘要
Abstract
Objective To study the clinical characteristics and surgical modality of the distal middle cerebral artery aneurysms (MdistAs).Methods The clinical data and surgical method of a patient with MdistAs were analyzed retrospectively.Also the literature related to the MdistAs which includes a large patient cohort was searched to analyze its morbidity , manifestations and treatment strategy.Results A 62-year-old male patient with minor neurological dysfunction was diagnosed as MdistAs at the M4 segment by CTA, which revealed the co-existing temporal lobe hematoma.The imaging reconstruction of the aneurysm and hematoma was conducted by the three dimension technology with 3D Slicer software to assist the lesion positioning and operative planning , which led to the successful resection of the aneurysm and complete neurological recovery.Conclusion The morbidity of MdistAs has been found to be rare.The common presentation with intracranial hematoma and neurological dysfunctions , the complex vascularity with a high rate of variation , and the location of the aneurysmal sac embedded under the operculum and cortex make MdistAs extremely difficult to locate and treat.3D Slicer, which is more advantageous in the image visualization and convenience compared with the conventional imaging technique , is likely to play a vital role in the treatment of such particular aneurysm.关键词
颅内动脉瘤/大脑中动脉,远端/ 3D Slicer软件/显微手术Key words
aneurysm/ distal middle cerebral artery / 3D Slicer/ microsurgery分类
医药卫生引用本文复制引用
LIN Jing,SONG Chao-li,CAO Yu-fu..3 D Slicer 软件辅助大脑中动脉 M4 段动脉瘤手术 1 例及文献复习[J].临床神经外科杂志,2019,(2):104-108,5.基金项目
四川省医学科研青年创新基金(Q18035) （Q18035）
