脑动脉瘤的诊断及治疗概况
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1、Diagnosis & Treatment Outlines Diagnosis & Treatment Outlines for Cerebral Aneurysmfor Cerebral Aneurysm Definition Pathogenesis: congenital arterial defect, atherosclerosis, infection and trauma. Onset age: 50-54 yrs (SAH). Gender Dominance: Female over Male. Location: ICA, ACA, MCA and PCA. Classi
2、ficationA.Location: ICA system (ICA, ACA, ACoA, MCA, PCoA, AchA)/ V-B system (VA, BA, PCA, PICA, PACA).B.Size: Small(2.5cm).C.Shape: saccular, berry and fusiform.Clinical PresentationA. Rupture & Bleeding (SAH): a:Intracranial Hypertension. b:Degenerated Conscience. c:Neural dysfunction. d: Vascular
3、 spasm.B. Space occupation.C. Cerebral ischemia. Hunt-Hess ScaleGrade 0: No deficits or discomforts. Grade I : Headache but no neurological impairment Grade II: Cognitive impairments such as forgetfulness and/or arousal problems such as drowsiness and/or cranial neuropathy. Grade III: Cognitive/arou
4、sal deficits and limb deficits for power, tone, and/or sensation Grade IV: Unconscious with marked changes in limb tone, power Grade V: Unresponsive DiagnosisA:Lumbar PunctureB:Computed Tomographic Angiography (CTA)C:Magnetic Resonance Angiography (MRA)D:Digital Subtraction Angiography (DSA)Intravas
5、cular InterventionA:Indications.B:Popular Means: Detachable Coils (Guglielmi), Stents (Neuroform, Leo & Wingspan), Liquid Agent (Onyx).C:IAES Scale.D:Complications.Neurosurgical TreatmentA:Indications.B:Surgical approaches.C:Monitoring approaches.D:Complications. Conclusion & ProspectA: Rapid and non-invasive neuroimaging would catch up with DSA in diagnosing aneurysm in the future.B: Comprehensive application of interventionand surgical treatments amplifiesadvantages of each other therefore improving prognosis.
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