Elderly surgical treatment of intracranial aneurysms Experience.docVIP

 PAGE \* MERGEFORMAT 9 Elderly surgical treatment of intracranial aneurysms Experience [Keywords:] intracranial aneurysm; old; surgical treatment With the extensive application of micro-surgery, aneurysm neck clipping of intracranial aneurysms is still an effective way. This retrospective analysis of our department from July 2007 to July 2009 Application of microsurgical treatment of intracranial arterial elderly Treatment of 26 cases of tumors. 1 Materials and Methods 1.1 General information on a total of 26 patients in this group of 28 aneurysms, of which 4 males and 22 females. Aged 61 to 76 years, with an average of 66 years. 1.2 The group of 26 patients with clinical manifestations in 22 patients (84%) of sudden onset of intense headache, nausea and vomiting, with or without disturbance of consciousness, limb weakness emergency admission. Ptosis in 2 cases, 2 cases of sudden convulsions, previous 13 patients with a history of hypertension, history of cerebral infarction in 4 cases, history of heart disease in 2 cases, the other 2 cases. .0 classification by Hess Hunt 1 case, I 4 cases, 10 cases, 8 cases, 2 cases of grade , level 1 case. 1.3 Imaging 26 cases of cerebral angiography (CTA) and head CT, examination of intracranial aneurysms were found, the head CT see intracranial mass in 1 case, CT saw 21 cases of subarachnoid hemorrhage, see Merge 4 cases of intracranial hematoma, hydrocephalus in 10 cases with cerebral aneurysms parts: the middle cerebral artery aneurysms 7, anterior cerebral artery aneurysms 1, 3 anterior communicating artery aneurysms, 13 posterior communicating artery aneurysm, carotid artery aneurysm 2 pieces. One giant aneurysms in 2 patients, multiple aneurysms of 2 cases. 1.4 The timing of surgery bleeding from the surgery the 1st time, 3 d in 17 cases as of early surgery; 3 ~ 14 d in 7 cases surgery; 14 d after surgery in 2 patients. Which 7 were also simultaneously ventricular drainage, 2 cases Patients with