脑动脉瘤的诊断及治疗概况

1、diagnosis & treatment outlines for 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.,classification,a.location: ica system (ica, aca, acoa, mca

2、, pcoa, acha)/ v-b system (va, ba, pca, pica, paca). b.size: small(2.5cm). c.shape: saccular, berry and fusiform.,clinical presentation,a. rupture & bleeding (sah): a：intracranial hypertension. b：degenerated conscience. c：neural dysfunction. d: vascular spasm. b. space occupation. c. cerebral ischem

3、ia.,hunt-hess scale,grade 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/arousal deficits and limb deficits for power, to

4、ne, and/or sensation grade iv: unconscious with marked changes in limb tone, power grade v: unresponsive,diagnosis,a:lumbar puncture b:computed tomographic angiography (cta) c:magnetic resonance angiography (mra) d:digital subtraction angiography (dsa),intravascular intervention,a：indications. b：pop

5、ular means: detachable coils (guglielmi), stents (neuroform, leo & wingspan), liquid agent (onyx). c：iaes scale. d：complications.,neurosurgical treatment,a：indications. b：surgical approaches. c：monitoring approaches. d：complications.,conclusion & prospect,a: rapid and non-invasive neuroimaging would catch up with dsa in diagnosing aneurysm in the future. b: comprehensive application of intervention and su