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我院自1980年7月至1992年8月开颅直接手术治疗颅内动脉瘤18例,现报告如下。临床资料一、一般资料 18例中,男6例,女12例,年龄17～56岁,平均47.5岁。首发症状:单侧动眼神经麻痹6例,蛛网膜下腔出血12例。合并偏瘫者2例,单眼失明者1例。入院时Hunt分级:0级2例,Ⅰ级2例,Ⅱ级13例,Ⅲ级Ⅰ例。二、特殊检查进行全脑血管造影或单侧颈内动脉造影者共18例:1例双侧造影均显示出动脉瘤;16例仅作单侧颈动脉造影即发现动脉瘤;1例未显示出动脉瘤。头颅CT检查10例:4例在增强时发现基底节池内
Our hospital from July 1980 to August 1992 craniotomy direct treatment of intracranial aneurysms in 18 cases, are as follows. Clinical data First, the general information 18 cases, 6 males and 12 females, aged 17 to 56 years, mean 47.5 years. First symptom: unilateral oculomotor nerve paralysis in 6 cases, 12 cases of subarachnoid hemorrhage. 2 cases with hemiplegia, 1 case of monocular blindness. Hunt classification at admission: 0 in 2 cases, Ⅰ grade in 2 cases, Ⅱ grade in 13 cases, Ⅲ grade Ⅰ cases. Second, special inspection of cerebrovascular angiography or unilateral carotid artery angiography were a total of 18 cases: 1 case of bilateral aneurysm showed; 16 cases were only for unilateral carotid artery angiography that aneurysm; 1 case did not show Out of the aneurysm. Head CT examination in 10 cases: 4 cases of basal ganglia were found in the enhancement