0　引　　言移行性海绵窦内巨大动脉瘤因其部位特殊,手术达到困难,是神经外科治疗的难题,现将我院通过动脉瘤孤立、大隐静脉移植,颈部颈内动脉(ICA)-大隐静脉-床突上ICA端端吻合术治疗1例成功的报告如下。1　病例介绍患者女,53岁,因头痛、进行性左眼视力减退和左眼睑下垂20天就 0 Introduction Cavernous sinus giant intracranial aneurysm due to its special site, surgery difficult, is the surgical treatment of neurosurgery, now our hospital through the aneurysm isolation, saphenous vein transplantation, neck and internal carotid artery (ICA) - large A successful report on the treatment of saphenous vein-ICO anastomosis on the bed was as follows. 1 case description Female patient, 53 years old, due to headache, progressive left eye vision loss and left eyelid ptosis 20 days