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中华脑血管病杂志(电子版) ›› 2023, Vol. 17 ›› Issue (06) : 622 -625. doi: 10.11817/j.issn.1673-9248.2023.06.016

病例报告

单侧烟雾综合征合并对侧前交通动脉瘤的一期手术治疗:个案报道
杨中弘, 卢文朋, 冯雷()   
  1. 272067 山东济宁,济宁医学院临床医学院
    272011 山东济宁,济宁市第一人民医院神经外科
  • 收稿日期:2023-03-01 出版日期:2023-12-01
  • 通信作者: 冯雷
  • 基金资助:
    国家自然科学基金资助项目(82272253)
  • Received:2023-03-01 Published:2023-12-01
引用本文:

杨中弘, 卢文朋, 冯雷. 单侧烟雾综合征合并对侧前交通动脉瘤的一期手术治疗:个案报道[J]. 中华脑血管病杂志(电子版), 2023, 17(06): 622-625.

图1 颅脑CT血管造影可见双侧颈内动脉斑块形成,右侧大脑中动脉闭塞
图2 右侧颈内动脉数字减影血管造影正位影像(图a)和侧位影像(图b),图中可见右侧大脑中动脉闭塞伴颅底烟雾状血管形成
图3 正位片可见位于左侧大脑前动脉A2段起始部的前交通动脉瘤(图a正位片;图b特殊位)
图4 术中沿侧裂中浅静脉分离侧裂
图5 术中暴露前交通动脉瘤
图6 术中夹闭前动脉瘤(图a),同时吲哚菁绿荧光造影见动脉瘤不显影(图b)
图7 颞浅动脉与大脑中动脉M2段吻合(图a),吲哚菁绿荧光造影显示吻合口通畅(图b)
图8 术后第2天复查颅脑CT,未见明显高低密度灶
图9 右侧搭桥术后4个月复查数字减影血管造影,见桥血管通畅,代偿良好(图a);动脉瘤未见显影(图b)
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