通过外科剪切术联合脑-黑-鞘瘤手术治疗伴有颅内动脉瘤的 moyamoya 病：病例报告和文献综述。

IF 1.7 4区医学 Q4 NEUROSCIENCES

International Journal of Neuroscience Pub Date : 2024-10-01 Epub Date: 2023-06-18 DOI:10.1080/00207454.2023.2211729

Kaixin Huang, Lesheng Wang, Jincao Chen

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引用次数: 0

摘要

背景：我们报告了一例 39 岁男性患者的病例，该患者患有未破裂的大脑中动脉动脉瘤，并伴有莫亚莫亚病（MMD），我们采用了外科手术剪除联合脑室-脑膜同步血管病手术进行了治疗：本院收治了一名有脑室内出血病史的 39 岁男性患者。术前数字减影血管造影（DSA）显示，动脉瘤来自右侧大脑中动脉（RMCA）的侧支，瘤颈极细。此外，RMCA主干和moyamoya血管也有闭塞。对动脉瘤进行了显微外科动脉瘤夹闭术，同时对同侧的多发性脑血管病进行了脑-黑-髓鞘血管造影术。在 4 个月的随访中，患者恢复良好，DSA 显示脑灌注改善，无新生动脉瘤：结论：对于同侧伴有颅内动脉瘤（IA）的莫亚莫亚病，结合显微外科剪除术和脑-黑质协同血管形成术的同步手术是一种很好的治疗方案。

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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Treatment of moyamoya disease with intracranial aneurysm by surgical clipping combined with encephalo-duro-myo-synangiosis surgery: a case report and literature review.

Background: We report a case of 39-year-old male patient with an unruptured middle cerebral artery aneurysm associated with moyamoya disease (MMD) treated by surgical clipping combined with encephalo-duro-myo-synangiosis surgery.

Case description: A 39-year-old male patient with a history of intraventricular hemorrhage was admitted to our hospital. Preoperative digital subtraction angiography (DSA) showed the aneurysm, arising from a collateral branch of the right middle cerebral artery (RMCA), had an extremely thin neck. Also present were an occlusion of the RMCA main trunk, and moyamoya vessels. Microsurgical aneurysm clipping was performed for the aneurysm, while encephalo-duro-myo-synangiosis was performed for ipsilateral MMD. At the 4-month follow-up, the patient had recovered well and DSA indicated improved cerebral perfusion with no de novo aneurysms.

Conclusions: For ipsilateral moyamoya disease accompanied with intracranial aneurysm (IA), simultaneous surgery combining microsurgical clipping and encephalo-duro-myo-synangiosis can be a good treatment option.

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来源期刊

International Journal of Neuroscience 医学-神经科学

CiteScore

5.10

自引率

0.00%

发文量

132

审稿时长

2 months

期刊介绍： The International Journal of Neuroscience publishes original research articles, reviews, brief scientific reports, case studies, letters to the editor and book reviews concerned with problems of the nervous system and related clinical studies, epidemiology, neuropathology, medical and surgical treatment options and outcomes, neuropsychology and other topics related to the research and care of persons with neurologic disorders. The focus of the journal is clinical and transitional research. Topics covered include but are not limited to: ALS, ataxia, autism, brain tumors, child neurology, demyelinating diseases, epilepsy, genetics, headache, lysosomal storage disease, mitochondrial dysfunction, movement disorders, multiple sclerosis, myopathy, neurodegenerative diseases, neuromuscular disorders, neuropharmacology, neuropsychiatry, neuropsychology, pain, sleep disorders, stroke, and other areas related to the neurosciences.