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神经外科首都医科大学?脑血管病研究所首都医科大学宣武医院[2]Department of Neurosurgery, International Neuroscience Institute, Rudolf-Pichlmayr-Strasse 4, 30625 Hannover, Germany
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.
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
通讯作者:
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
推荐引用方式(GB/T 7714):
Ying Sun,Karsten H. Wrede,Zan Chen,et al.Ruptured intrameatal AICA aneurysms-a report of two cases and review of the literature[J].ACTA NEUROCHIRURGICA.2009,151(11):1525-1530.doi:10.1007/s00701-009-0269-6.
APA:
Ying Sun,Karsten H. Wrede,Zan Chen,YuHai Bao&Feng Ling.(2009).Ruptured intrameatal AICA aneurysms-a report of two cases and review of the literature.ACTA NEUROCHIRURGICA,151,(11)
MLA:
Ying Sun,et al."Ruptured intrameatal AICA aneurysms-a report of two cases and review of the literature".ACTA NEUROCHIRURGICA 151..11(2009):1525-1530