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Ruptured intrameatal AICA aneurysms-a report of two cases and review of the literature

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机构: [1]Cerebrovascular Diseases Research Institute, Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Beijing 100053, People’s Republic of China [2]Department of Neurosurgery, International Neuroscience Institute, Rudolf-Pichlmayr-Strasse 4, 30625 Hannover, Germany
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关键词: Aneurysm AICA Internal auditory meatus Internal auditory canal Intrameatal Intracanalicular

摘要:
Aneurysms of the distal part of the anterior-inferior cerebellar artery (AICA) are rare. Most are located in the cerebellopontine angle close to the internal auditory meatus. To our knowledge, only 13 patients with the aneurysm located inside the internal auditory meatus have been reported in the literature. We present two cases of ruptured intrameatal AICA aneurysms that were treated in our center in the past year. The locations and clinical manifestations are discussed and all 13 previously published cases are reviewed. Exposure and decompression of all structures in the internal auditory meatus, careful manipulation of the nerves and vessels, temporary trapping of the aneurysm, and careful dissection of the neck to avoid partial clipping are the essential steps when treating intrameatal AICA aneurysms to reduce the risk of postoperative neurological deficits.

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出版当年[2008]版:
大类 | 4 区 医学
小类 | 3 区 外科 4 区 临床神经病学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 外科 4 区 临床神经病学
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出版当年[2007]版:
Q2 SURGERY Q3 CLINICAL NEUROLOGY
最新[2024]版:
Q2 SURGERY Q3 CLINICAL NEUROLOGY

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第一作者机构: [1]Cerebrovascular Diseases Research Institute, Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Beijing 100053, People’s Republic of China
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通讯机构: [1]Cerebrovascular Diseases Research Institute, Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Beijing 100053, People’s Republic of China
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