Bilobulated paraclinoid aneurysm mimics double aneurysms: A comparison of endovascular coiling and surgical clipping treatments

被引：6

作者：

Wang, Jui-To ^{[1
,2
]}

Yang, Huai-Che ^{[1
,2
]}

Lin, Chun-Fu ^{[1
,2
]}

Guo, Wan-Yuo ^{[2
,3
]}

Luo, Chao-Bao ^{[2
,3
]}

Chen, Min-Hsiung ^{[1
,2
]}

Hsu, Sanford P. C. ^{[1
,2
]}

机构：

[1] Taipei Vet Gen Hosp, Neurol Inst, Dept Neurosurg, Taipei 112, Taiwan

[2] Natl Yang Ming Univ, Sch Med, Taipei 112, Taiwan

[3] Taipei Vet Gen Hosp, Dept Radiol, Taipei, Taiwan

来源：

JOURNAL OF THE CHINESE MEDICAL ASSOCIATION | 2014年 / 77卷 / 10期

关键词：

carotid dural ring; clipping; coiling; paraclinoid aneurysm; LOCATION;

D O I：

10.1016/j.jcma.2010.09.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This report presents two cases of subarachnoid hemorrhage caused by rupture of paraclinoid aneurysms. Both aneurysms presented a bilobulated appearance upon image study. Both cases were treated successfully, the first with surgical clipping and the second with endovascular coiling. The special bilobulated feature of paraclinoid aneurysm in this particular anatomic location suggests its close relationship with the carotid dural ring. This relationship caused varying degrees of difficulty in both coiling and clipping the aneurysm. We compared the limitations and advantages of both treatments, and suggest that surgical clipping may be the treatment of choice in this region. Copyright (C) 2014 Elsevier Taiwan LLC and the Chinese Medical Association. All rights reserved.

引用

页码：544 / 547

页数：4

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