含双侧后交通动脉瘤的复杂颅内多发动脉瘤1例的治疗思考

Treatment of Complex Multiple Intracranial Aneurysms with Bilateral Posterior Communicating Artery Aneurysms: A Case Report

摘要: 颅内多发动脉瘤在进行手术夹闭时常需面对是否选择一期手术夹闭所有动脉瘤以及双侧动脉瘤应该采取何种手术入路的问题。手术方案的选择必须考虑患者的合并疾病，并做出抉择。本例患者患有双侧后交通动脉瘤及单侧大脑中动脉瘤，同时合并脑梗死与高血压病史。通过对该例患者治疗的报道，总结了面对复杂颅内动脉瘤患者手术策略的一些思考。

Abstract: When facing a patient with multiple intracranial aneurysms, neurosurgeons often have to face the problem of whether to choose one-stage clipping of all aneurysms and what kind of surgical ap-proach should be taken for bilateral aneurysms. To gain a rational surgical plan, patient’s combined diseases should take into account. This patient had bilateral posterior communicating artery aneu-rysms and unilateral middle cerebral aneurysms with a history of cerebral infarction and hyper-tension. Based on the report of this patient’s treatment, some reflections on the surgical strategies for patients with complex intracranial aneurysms were summarized.