英文病例手术预案左侧大脑中动脉动脉瘤clipping

L-MAC ANclipping,Abstract,Female, 53 y/o6 years ago, patient have a thorough examination. MRI and MRA in local hospital indicated L-MCA unruptured aneurysm DSA in local hospital show the AN located M1 segment of L-MCAPast history: Hypertension 4yr Treatment of Irbesartan and Hydrochlorothiazide (Maximum 80-130mmHg),Family History:Mother died of Cerebral Hemorrhage.Brother has an EMB of Ruptured anterior communicating AN recently.PE: -,CT (Jan. 16th 2010 Local Hosp. ),There is no SAH and calcification,MRI (Jan. 16th 2010 Local Hosp. ),MRA (Jan. 16th 2010 Local Hosp. ),DSA and3D reconstruction (Jan. 31th 2010 Local Hosp. ),3D reconstruction (Jan. 31th 2010 Local Hosp. ),The patient has MRI and MRA every yearThe size of AN has no growth,MRI T1 (Dec. 22th 2015 Local Hosp. ),MRI T2 (Dec. 22th 2015 Local Hosp. ),There is no thrombus.,CT (Feb. 2th 2016 Local Hosp. ),There is no calcification,CTA (Feb. 2th 2016 Local Hosp ),CTA (Feb. 2th 2016 Local Hosp ),Diagnosis,L-MCA ANL-MCA AN clippingPterion approach (Left)Bypass,Treatment,Keypoints,Perservation of Superfical temporal artery within scalp preparing for bypass.MEP monitoring for function preservation during temperal occlusion.Preparation for secure 2 branches of STA-M4 bypass for maintaining the normal blood circulation of Lt MCA region during temporal occlusion or proximal occlusion.Try to reconstruct of M2 Aneurysm complex with multiple clips technique. If it is failed, Promix