首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Iatrogenic traumatic intracranial aneurysm after endoscopic sinus surgery
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Iatrogenic traumatic intracranial aneurysm after endoscopic sinus surgery

机译:内窥镜鼻窦手术后的医源性创伤性颅内动脉瘤

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摘要

Iatrogenic traumatic intracranial aneurysms are rare, but their clinical impact is significant secondary to their risk of intracranial hemorrhage and in their frequent complexity in management. We report an adult patient with a history of chronic sinusitis who, while undergoing elective endoscopic polypectomy, suffered an iatrogenic injury to an A2 segment branch of the left anterior cerebral artery, resulting in a pseudoaneurysm. Management included endovascular coiling and a bicoronal craniotomy approach, using a split-thickness cranial graft and abdominal fat graft to repair the associated left cribriform plate defect. (C) 2014 Elsevier Ltd. All rights reserved.
机译:医源性创伤性颅内动脉瘤很少见,但其临床影响因其颅内出血的风险和治疗的频繁复杂性而次之。我们报告了一名患有慢性鼻窦炎病史的成人患者,该患者在接受选择性内窥镜息肉切除术时,对左前脑动脉的A2段分支进行了医源性损伤,导致了假性动脉瘤。治疗方法包括血管内盘绕和双冠状动脉开颅手术,使用裂厚颅骨移植物和腹部脂肪移植物修复相关的左筛状板缺损。 (C)2014 Elsevier Ltd.保留所有权利。

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