文档介绍:该【颅内动脉瘤的诊断及治疗【神经外科】--课件 】是由【miao19720107】上传分享,文档一共【37】页,该文档可以免费在线阅读,需要了解更多关于【颅内动脉瘤的诊断及治疗【神经外科】--课件 】的内容,可以使用淘豆网的站内搜索功能,选择自己适合的文档,以下文字是截取该文章内的部分文字,如需要获得完整电子版,请下载此文档到您的设备,方便您编辑和打印。颅内动脉瘤的诊断及治疗
Intracranialaneurysmdiagnosisandtherapy
神经外科
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Epidemiology
Morbility:6~
area:
Lowest:India、theMiddleEast、China1~2/100thousands
Highest:Finland、Japan、~
F:~:1。Commonage:40-60years,about2/3。
LinnFH,RinkelGJ,AlgraA,:roleofregion,year,andrateofcomputedtomography:ameta-;27(4):625-9.
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Aneurysmetiology
1、Congenital80%~90%
2、Arteriosclerosis10%~18%
3、%~%
4、%
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Riskfactors
1、Age
2、heredity
3、bloodflowdynamic
4、Defectsinthearterialwallofthemiddle
5、Aneurysmscoexistwithothercongenitalanomalies
6、Hypertension
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Aneurysmclassification
size::<;:-;:-;:≥
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Aneurysmclassificationshape:1、capsular2、intervallum3、Fusiform
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anteriorofWillisarterialcircle>80%
internalcarotidarteryICA 30%
anteriorcerebralartery ACA30%
middlecerebralartery MCA20%
vertebralartery
andbasilararteryVA&BA 5%
others 15%
Aneurysmclassificationcommonposition:
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Aneurysmclassificationposition:
Rhoton,(4),October2002
0
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Locationsofaneurysmrupture
Top64%
Middle10%
Neck2%
unclear24%
Top-rupture
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Clinicalpresentationofintracranialaneurysmnon-rupture1、Noclinicalsymptoms,physicalexaminationwhentheaccidentaldiscovery2、Intracranialpressuresymptoms
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