无蛛网膜下腔出血的大脑中动脉动脉瘤破裂

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1、无蛛网膜下腔出血的大脑中动脉动脉瘤破裂无蛛网膜下腔出血的大脑中动脉动脉瘤破裂无蛛网膜下腔出血的大脑中动脉动脉瘤破裂无蛛网膜下腔出血的大脑中动脉动脉瘤破裂无蛛网膜下腔出血的大脑中动脉动脉瘤破裂无蛛网膜下腔出血的大脑中动脉动脉瘤破裂无蛛网膜下腔出血的大脑中动脉动脉瘤破裂无蛛网膜下腔出血的大脑中动脉动脉瘤破裂无蛛网膜下腔出血的大脑中动脉动脉瘤破裂?226?血,引流彻底后再拔管.2007年4月第34卷第4期InternationalJournalof参考文献[1]OdomGL,FinneyW,WoodhallB.Ce~icMdisklesions[J].JAM

2、A,1958,16:23-28.[2]孙宁,李贵存.第二届颈椎病专题座谈会纪要[J].中华外科杂2O07.Vo1.34.No.4志,1993,31:472.[3]BoseB.AnteriorcervalfusionusingCasparplatinganalysisofresultsandreviewoftheliterature[J].SurgNeur,1998,49(1):125.[4]侯铁胜,李明,赵杰,等.Secuplate颈椎前路钢板系统在脊髓型颈椎病手术中的应用[J].中华骨科学杂志.20O2,22:58-60.(收稿日期:2006-11-

3、08)无蛛网膜下腔出血的大脑中动脉动脉瘤破裂梁玉敏徐纪文潘耀华江基尧殷玉华刘卫东包映晖高国一徐巳奕万杰青【摘要】目的总结无蛛网膜下腔出血(SAH)的大脑中动脉(MCA)动脉瘤破裂的临床特点.方法对6例在首次CT扫描上表现为脑内出血(ICH),或壁内出血(IMH)而无SAH的MCA动脉瘤破裂患者的临床表现,影像学检查,治疗方法和预后进行回顾性总结.结果本组首次CT扫描时间为起病后0—2d,表现为单纯ICH者4例,IMH者2例.DSA和手术证实为MCA动脉瘤破裂.开颅动脉瘤切除1例,夹闭5例,其中4例同时行血肿清除术.术后无死亡.结论MCA动脉瘤破裂首次C

4、T扫描可仅表现为ICH或IMH而无SAH,与动脉瘤的部位,出血量以及CT扫描时间相关.【关键词】动脉瘤;脑内出血;壁内出血;大脑中动脉;蛛网膜下腔出血Rupturedmiddlecerebralarteryaneurysmswithoutsubaraeh.noidhemorrhageHANGYu—Mi.PANYao—Hua,YINYu—Hua,LIU耽—D0,BAOYing—Hui,GAOGuo—Yi,XUSi—Yi,WAN胁一Qing,xuji—Wen,JIANGji—Yao1D印artmntofNeugosurgery,RenjiHospital,

5、ShaIlgllaiJiaoto”gUniversitySch001ofMedicine,Shanghai200127,China;DepartmentofNeurosurgeny,PunanHospital,Shanghai200125,China【Abstract】0bjectiveTosummarizetheclinicalfeaturesofrupturedmiddlecerebralartery(MCA)an-eurysmswithoutsubarachnoidhemorrhage(SAH).MethodsWeretrospectivdyre

6、viewedtheclinicalmani-festations,neuroradiologicalexamination,treatmentandprognosisof6casesofrupturedMCAaneurysmpresentedasintracerebralhemorrhage(ICH)orintramuralhemorrhage(IMH)withoutSAHoninitialCTscanning.ResultseinitialCTscanningWasobtainedon0-2daysafteronset.IMHwasshowedin2

7、ca-sesandsimpleICHWasin4cases.ofwhich3werelocatedintemporallobeand1infrontallobe.AllcaseswereidentifiedasMCAaneurysmbyDSAandoperation.AneurysmWasresectedin1caseandclippedin5cases,ofwhichhematomaWasalsoevacuatedin4cases.Ofthesepatients,5casesweregoodrecovery,and1casewasinmoderate

8、disability.ConclusionsRupturedMCAaneurysmmayonl