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重庆医学院第一医院神经外科
纸质出版日期:1985,
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[1]蒋万书,朱祯卿.脑瘤合并颅内动脉瘤二例报告及文献复习[J].重庆医学院学报,1985(02):137-140+168.
COEXISTENCE OF BRAIN TUMOR AND INTRACRANIAL ANEURYSM IN TWO PATIENTS[J]. Journal of Chongqing Medical University, 1985,(2):137-140.
本文报告脑瘤合并颅内动脉瘤2例。1例为左侧蝶骨嵴巨大脑膜瘤合并同侧颈内动脉——眼动脉连接处动脉瘤
经肿瘤全切及肌肉包裹动脉瘤一次手术成功。另1例为右侧蝶骨嵴脑膜瘤合并颈内动脉海绵窦段动脉瘤
两种病损均系偶然发现
只作了肿瘤全切除
动脉瘤未处理。 脑瘤与动脉瘤合并存在是一种罕见的临床情况
其发病率约占颅内原发性肿瘤的0.093~0.7%。手术死亡率文献报导达40%。本文2例术后已随访最短16个月
手术效果良好。 本文就我们病人的临床特点
结合文献资料对本病的病因
临床表现
预后和治疗作一简要复习。
Two cases of brain tumor and intracranial aneurysm coexisting in the same patient are reported. In case l
a huge meningioma located along the left sphenoid ridge was found coexisting with an arterial aneurysm at the junction of the left carotid and left opthalmic artery. Both conditions were successfully treated by total removed of the tumor
followed by wrapping of the aneurysm with muscle at the same operation. The other case was a head injury patient in which the coexistence of a right sphenoid ridge meningioma and an aneurysm of the intracavernous portion ofthe right internal carotid artery was found unexpectedly in carotid angiography and exploratory craniotomy. In this case
the meningioma was removed radically
but the aneurysm was found inaccessible. The coexistence of two unrelated intracranial lesions is rare. According to documented statistics the brain tumor coexisting with intracranial arterialaneurysm was about 0
3-0.7%. The operative mortality reported in the literature was 40%. Oar patients have been followed-up for at least sixteen months and the result so far is excellent. Literatures with reference to the etiology
clinical features
prognosis and treatment of the condition in question is briefly reviewed
and the clinical characteristics of our cases commented.
脑膜瘤颅内的动脉瘤蝶骨嵴颈内动脉—眼动脉海绵窦内血管造影术
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