手术治疗。

Q3 Medicine

Frontiers of Neurology and Neuroscience Pub Date : 2016-01-01 DOI:10.1159/000448312

C. Oh, G. Steinberg

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引用次数: 0

摘要

许多先前的研究表明，药物治疗对颅内动脉粥样硬化患者预防卒中的重要作用，偶尔会进行血管成形术和支架植入。在有严重血流动力学障碍的患者亚组中，可以考虑颅外-颅内(EC-IC)搭桥手术。此外，对于由于大脑中动脉(MCA)闭塞导致大面积梗死的患者，使用减压颅骨切除术可以降低死亡率并改善长期生活质量。然而，这些手术对颅内动脉粥样硬化患者的益处一直存在争议。在本章中，我们回顾颅内动脉粥样硬化患者的手术治疗。本综述不包括烟雾病的EC-IC搭桥手术，这将在另一章讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgical Therapy.

Many prior investigations have indicated the important role of medical treatment to prevent stroke in patients with intracranial atherosclerosis, with angioplasty and stenting occasionally being performed. In a subgroup of patients with severe hemodynamic impairment, extracranial-intracranial (EC-IC) bypass surgery may be considered. Additionally, in patients with massive infarctions due to middle cerebral artery (MCA) occlusion, the use of decompressive craniectomy may lower mortality rates and improve long-term quality of life. However, the benefit of these surgical procedures in patients with intracranial atherosclerosis has long been controversial. In this chapter, we review the surgical therapies for patients with intracranial atherosclerosis. This review does not include EC-IC bypass surgery for moyamoya disease, which is discussed in another chapter.

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来源期刊

Frontiers of Neurology and Neuroscience Medicine-Neurology (clinical)

自引率

0.00%

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期刊介绍： Focusing on topics in the fields of both Neurosciences and Neurology, this series provides current and unique information in basic and clinical advances on the nervous system and its disorders.