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巨型蜿蜒状颅内动脉瘤十分少见,国内尚未见报导,本病在诊断和治疗上都有特点,如事先不了解,在处理时,会遇到困难,甚至会造成手术中大出血等不良后果,我院曾诊治l例,经手术全切除,效果良好,现报告于下。 患者,女,27岁,社员,1980年9月8日入院,间歇性头痛发作4年。近两月来加重,伴呕吐及视物模糊,检查:瞳孔右侧略大于左侧,眼底:视乳头水肿2D,左侧轻度中枢性面瘫,左侧锥体束征阳性,颅脑超声波检查:中线波左偏1.2cm,颅平片示右额颞部有一圆弧形钙化斑,其直径约6.5cm,右侧颈动脉连续摄片造影:右大脑中动脉距起点约0.5cm处发出一巨大的异常血管通道,此通道粗细不均,直径在0.7cm左右,其形态亦呈圆弧形,绕钙化斑走行一圈
Giant meandering intracranial aneurysms are very rare, has not been reported in the country, the diagnosis and treatment of the disease has its own characteristics, such as prior understanding, in dealing with, will encounter difficulties, and even cause bleeding and other adverse consequences of surgery , Our hospital had diagnosis and treatment of l cases, the full removal by surgery, the effect is good, the report is now under. Patient, female, 27 years old, member, admitted to hospital on September 8, 1980, episode of intermittent headache for 4 years. The past two months to increase, accompanied by vomiting and blurred vision, check: the pupil right slightly larger than the left, fundus: papilledema 2D, left mild central paralysis, left pyramidal tract signs positive, cranial ultrasound : Left side of the midline wave 1.2cm, cranial plain shows the right frontotemporal calcified calcification, a diameter of about 6.5cm, right carotid continuous radiography: right middle cerebral artery about 0.5cm from the starting point issued a huge Of the abnormal vascular access, the uneven thickness of this channel, the diameter of about 0.7cm, its shape was also arc-shaped, calcified plaque around a circle