Intracranial Mirror Aneurysm: Epidemiology, Rupture Risk, New Imaging, Controversies, and Treatment Strategies
| Autor: | Shifang Li, Jinyang Ren, Pining Zhang, Jing-Chen Gao, Xujin Yao, Han Zhou, Wei Liu, Song-Feng Chen, Yingbin Jiao, Jin-Xiang Xu, Yong Yue, Yugong Feng, Donglin Lu, Heng-Jian Liu, Jing Cheng |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Brain tissue Aneurysm Ruptured 03 medical and health sciences 0302 clinical medicine Aneurysm Imaging Three-Dimensional Risk Factors Epidemiology medicine Humans Rupture risk cardiovascular diseases Surgical treatment Craniotomy Retrospective Studies 3d slicer business.industry Disease Management Intracranial Aneurysm medicine.disease 030220 oncology & carcinogenesis Treatment strategy Surgery Neurology (clinical) Radiology business 030217 neurology & neurosurgery |
| Zdroj: | World neurosurgery. 127 |
| ISSN: | 1878-8769 |
| Popis: | There are some controversies about the surgical treatment strategy of mirror aneurysms. Whether to choose 1-stage or 2-stage surgery, bilateral or unilateral craniotomy, or surgical or interventional treatment are the main points in dispute. In this review, the different surgery strategies faced by patients are discussed. Different surgical methods are adopted based on the patient's individual state and the location and size of the aneurysm. A new imaging method is introduced using 3D Slicer, which clearly recognizes the relationship among aneurysm, brain tissue, skull, and nerve. The 3D Slicer can help surgeons undertake adequate preoperative preparation. In addition, we also introduce some ruptured factors (e.g., age, gender, hypertension, morphologic, and hemodynamic) concerning mirror aneurysm. Systematic discussion of the controversies and methods in surgical treatment of mirror aneurysms may provide new perspectives in future research for the prevention and treatment of mirror aneurysms. |
| Databáze: | OpenAIRE |
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