论文部分内容阅读
颈内动脉(ICA)床突旁段是指ICA出海绵窦至后交通动脉(PCoA)起源处之间蛛网膜下腔内的一段ICA,它发出的动脉瘤称床突旁颈内动脉瘤(p-ICAA)。我们自1986年1月～1995年12月共收治p-ICAA 18例,占同期颅内动脉瘤的5.7％。现将临床分型、手术方法和治疗结果报告如下。 临床资料 1.一般资料:男8例,女10例,年龄33～55岁,平均年龄为46.5岁。 2.临床表现:蛛网膜下腔出血(SAH)13例,占73％。其中出血1次9例,出血2次4例。出血时伴有意识丧失者5例,对侧肢体运动障碍6例,同侧动眼神经麻痹2例,
The parasympathetic segment of the internal carotid artery (ICA) refers to the ICA within the subarachnoid space between the cavernous sinus and the origin of the posterior communicating artery (PCoA) of the ICA. The aneurysm it produces is called the parabrachial internal carotid artery aneurysm ( p-ICAA). We have received 18 cases of p-ICAA from January 1986 to December 1995, accounting for 5.7% of intracranial aneurysms in the same period. The clinical classification, surgical methods and treatment results are reported below. Clinical data 1. General information: 8 males and 10 females, aged 33 to 55 years, mean age 46.5 years. 2. Clinical manifestations: Subarachnoid hemorrhage (SAH) 13 cases, accounting for 73%. Among them, there were 9 cases of bleeding and 4 cases of bleeding. There were 5 cases of loss of consciousness accompanied by bleeding, 6 cases of contralateral limb movement disorders, and 2 cases of ipsilateral oculomotor nerve palsy.