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在颅内动脉瘤中,颈—眼动脉瘤的发生率介于1.5—8.0%。由于过去它们的直接手术死亡率和病残率相当高,迄今关于手术方法仍有争论,有建议结扎颈段颈动脉,有主张直接夹闭动脉瘤。作者在1967年3月至1976年12月连续治疗25例病人的30个颈—眼动脉瘤。女23例,男2例,平均年令43.7岁。5例有双侧颈—眼动脉瘤,11例在脑底动脉环前部伴有其它动脉瘤。此外,伴有巨大鞍上嫌色性垂体腺瘤和矢状窦旁脑膜瘤者各1例。按Botterell修改分级法,在术前Ⅰ级9例,Ⅱ级8例,Ⅲ级7例,Ⅳ级1例(伴巨大额叶血肿)。首发症状:17例(76%)为蛛网膜下腔出血,无定位体征。4例在术前发生第二次出血,2例发生第三次出血。6例有视症状。8例有恶心呕吐,头痛和意识丧失,这些症状与蛛
In intracranial aneurysms, the incidence of cervical-ocular aneurysms is between 1.5 and 8.0%. Due to their relatively high rates of direct surgical mortality and morbidity, there has been controversy over surgical methods so far. It has been suggested that the cervical carotid artery be ligated, and there is a claim to directly occlude the aneurysm. The authors treated 30 neck-to-eye aneurysms of 25 patients from March 1967 to December 1976. There were 23 females and 2 males with an average age of 43.7 years. Five patients had bilateral neck-to-eye aneurysms, and 11 had other aneurysms in the anterior ring of the cerebral artery. In addition, there were 1 case of chromophobe pituitary adenoma and sagittal sinus meningioma. According to Botterell’s modified classification method, 9 cases were in grade I before surgery, 8 in grade II, 7 in grade III, and 1 in grade IV (with hematoma of great frontal lobe). First symptoms: 17 cases (76%) were subarachnoid hemorrhage, no location signs. Four patients had a second bleeding before surgery and two patients had a third bleeding. Six patients had symptoms. Eight patients had nausea and vomiting, headache and loss of consciousness, these symptoms and spiders