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首页> 外文期刊>Neurosurgical focus >Management of incidentally discovered intracranial vascular abnormalities
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Management of incidentally discovered intracranial vascular abnormalities

机译：偶然发现的颅内血管异常的处理

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摘要

With the widespread use of brain imaging studies, neurosurgeons have seen a marked increase in the number of incidental intracranial lesions, including vascular abnormalities. Specifically, the detection of incidentally discovered aneurysms, arteriovenous malformations, cavernous angiomas, developmental venous anomalies, and capillary telangiectasias has increased. The best management strategy for most of these lesions is controversial. Treatment options include observation, open surgery, endovascular procedures, and radiosurgery. Multiple factors should be taken into account when discussing treatment indications, including the natural history of the disease and the risk of the treatment. In this article, the authors focus on the natural history of these lesions and the risk of the treatment, and they give recommendations regarding the most appropriate management strategy based on the current evidence in the literature and their experience with intracranial vascular abnormalities.
机译：随着脑成像研究的广泛使用，神经外科医生已经发现颅内偶发病变的数量显着增加，包括血管异常。具体而言，对偶然发现的动脉瘤，动静脉畸形，海绵状血管瘤，发育性静脉异常和毛细血管毛细血管扩张的检测已增加。对于大多数这些病变的最佳治疗策略是有争议的。治疗选择包括观察，露天手术，血管内手术和放射外科。在讨论治疗适应症时应考虑多种因素，包括疾病的自然病史和治疗风险。在本文中，作者关注这些病变的自然史和治疗风险，并根据文献中的最新证据及其颅内血管异常的经验，就最合适的治疗策略提出建议。

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