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作者报告烟雰病合并颅内动脉瘤1例,并结合文献讨论其发病机制和手术指征.女、42岁,入院前2个月突感头痛、呕吐,伴左侧轻偏瘫,感觉迟钝和同向偏育.经右侧颈动脉和椎动脉造影,见颈内动脉C-1段闭塞’脑底部有Moyamoya血管,后交通动脉增粗,在基底动脉分叉处和右大脑后动脉(交通动脉前段)各有一动脉瘤.左侧颈动脉造影,见左大脑前动脉A-1段闭塞,脑底部亦见有Moyamoya血管.未见硬脑膜血管参与脑的血供,决定直接手术.经右额颞开颅,术中见有
The authors reported 1 case of intracranial aneurysm with comorbidities and combined literature to discuss its pathogenesis and surgical indications. Female, 42 years old, 2 weeks before admission, sudden onset of headache, vomiting, with left hemiparalysis, dysesthesia and In the same direction, the left side of the carotid artery and vertebral artery angiography, see the internal carotid artery segment C-1 occlusion ’Moyamoya blood vessels at the bottom of the brain, posterior communicating artery thickening, at the bifurcation of the basilar artery and the right posterior cerebral artery (transportation Artery aneurysms were found in each anterior segment of the artery. Left carotid artery angiography showed an occlusion of the anterior segment of the left anterior cerebral artery A-1. Moyamoya vessels were also found at the bottom of the brain. No dural blood vessels were involved in the blood supply to the brain. A direct operation was determined. Forehead craniotomy, see during surgery