脑动脉瘤的诊断及治疗概况.pptVIP

Diagnosis Treatment Outlines for Cerebral Aneurysm Definition Pathogenesis: congenital arterial defect, atherosclerosis, infection and trauma. Onset age: 50-54 yrs (SAH). Gender Dominance: Female over Male. Location: ICA, ACA, MCA and PCA. Classification A.Location: ICA system (ICA, ACA, ACoA, MCA, PCoA, AchA)/ V-B system (VA, BA, PCA, PICA, PACA). B.Size: Small(0.5cm)/medium (0.6-1.5cm)/large (1.62.5cm)/giant(2.5cm). C.Shape: saccular, berry and fusiform. Clinical Presentation A. Rupture Bleeding (SAH): a：Intracranial Hypertension. b：Degenerated Conscience. c：Neural dysfunction. d: Vascular spasm. B. Space occupation. C. Cerebral ischemia. Hunt-Hess Scale Grade 0: No deficits or discomforts. Grade I : Headache but no neurological impairment Grade II: Cognitive impairments such as forgetfulness and/or arousal problems such as drowsiness and/or cranial neuropathy. Grade III: Cognitive/arousal deficits and limb deficits for power, tone, and/or sensation Grade IV: Unconscious with marked changes in limb tone, power Grade V: Unresponsive Diagnosis A:Lumbar Puncture B:Computed Tomographic Angiography (CTA) C:Magnetic Resonance Angiography (MRA) D:Digital Subtraction Angiography (DSA) Intravascular Intervention A：Indications. B：Popular Means: Detachable Coils (Guglielmi), Stents (Neuroform, Leo Wingspan), Liquid Agent (Onyx). C：IAES Scale. D：Complications. Conclusion Prospect A: Rapid and non-invasive neuroimaging would catch up with DSA in diagnosing aneurysm in the future. B: Comprehensive application of intervention and surgical treatments amplifies advantages of each other therefore improving prognosis. * * Neurosurgical Treatment A：Indications. B：Surgical approaches. C：Monitoring approaches. D：Complications. *